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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(02): 441-444
DOI: 10.1055/s-0041-1733815
Review Article

Intracranial Textiloma: Imaging Features and Literature Review

Vivek Agarwal
1   Department of Radiodiagnosis and imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Sameer Vyas
1   Department of Radiodiagnosis and imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Chirag Kamal Ahuja
1   Department of Radiodiagnosis and imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Vikas Bhatia
1   Department of Radiodiagnosis and imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Manjul Tripathi
2   Department of Neurosurgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Pravin Salunke
2   Department of Neurosurgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Manoj Kumar Tewari
2   Department of Neurosurgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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Abstract

Background and Importance Intracranial textilomas are retained surgical sponges presenting as pseudomass lesions in postoperative patients usually with surrounding inflammatory reaction. Though rare, these are commonly misdiagnosed as postoperative hemorrhagic collections, abscesses, radionecrosis, or residual/recurrent mass lesions. We describe the imaging findings of intracranial textilomas diagnosed in four patients on follow-up postoperative imaging along with their characteristic imaging findings to help radiologists/neurosurgeons make accurate diagnosis.

Clinical Presentation One patient had chronic headache without any focal neurological deficits. Rest of the patients were asymptomatic at the time of presentation

Conclusion In postoperative scans, possibility of textilomas should be considered apart from residual/recurrent lesions, postoperative abscesses, or radionecrosis. Correct and timely diagnosis is important for further treatment planning and patient care.

Keywords

textiloma - surgical sponges - pseudomass - postoperative


Publication History

Article published online:
27 July 2021

© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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