CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2015; 25(02): 193-195
DOI: 10.4103/0971-3026.155872
Abdominal Radiology

Tumefactive intramural gossypiboma of the urinary bladder mimicking an invasive adnexal malignancy

Shivi Jain
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Ashish Verma
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Madhu Jain
Department of Obstetrics and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Sameer Trivedi
Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Ram C Shukla
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Arvind Srivastava
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
› Institutsangaben

Abstract

A surgical swab retained in the body after surgery is known as ′Gossypiboma′. The purpose of this report is to highlight an intramural vesical gossypiboma mimicking an invasive adnexal malignancy. A 28-year-old multiparous, with open-tubal ligation three years ago, presented with painless hematuria and a nontender mass on vaginal examination. USG suggested ′pelvic endometriosis′ infiltrating into the bladder and cystoscopy showed no intraluminal extension of the mass. Contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) misdiagnosed it as invasive malignancy of the fallopian tube. Exploratory laparotomy found it to be an intramural vesical gossypiboma. A pelvic gossypiboma infiltrating into the wall of the urinary bladder may easily be misinterpreted as an invasive pelvic malignancy on imaging and may make one consider unwarranted radical surgery.



Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2021

© 2015. 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/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Gencosmanoglu R, Inceoglu R. An unusual cause of small bowel obstruction: Gossypiboma--case report. BMC Surg 2003;3:6.
  • 2 Taçyildiz I, Aldemir M. The mistakes of surgeons: "Gossypiboma." Acta Chir Belg 2004;104:71-5.
  • 3 Sheehan RE, Sheppard MN, Hansell DM. Retained intrathoracic surgical swab: CT appearances. J Thorac Imaging 2000;15:61-4.
  • 4 Kominami K, Fujikawa A, Tamura T, Naoi Y, Horikawa O. Retained surgical sponge in the thigh: Report of the third known case in the limb. Radiat Med 2003;21:220-2.
  • 5 Ebner F, Tölly E, Tritthart H. Uncommon intraspinal space occupying lesion (foreign-body granuloma) in the lumbosacral region. Neuroradiology 1985;27:354-6.
  • 6 Okten AI, Adam M, Gezercan Y. Textiloma: A case of foreign body mimicking a spinal mass. Eur Spine J 2006;15 Suppl 5:626-9.
  • 7 El Khoury M, Mignon F, Tardivon A, Mesurolle B, Rochard F, Mathieu MC. Retained surgical sponge or gossypiboma of the breast. Eur J Radiol 2002;42:58-61.
  • 8 Poncelet AJ, Watremez C, Tack D, Noirhomme P. Paracardiac opacity following inferior- and middle-lobe resection for bronchogenic carcinoma: Unsuspected diagnosis. Chest 2005;128:439-41.
  • 9 García de Llanos C, Cabrera Navarro P, Freixinet Gilart J, Rodríguez Suárez P, Hussein Serhald M, Romero Saavedra T. Intrathoracic gossypiboma interpreted as bronchogenic carcinoma. Another false positive with positron emission tomography. Arch Bronconeumol 2007;43:292-4.
  • 10 Kim CK, Park BK, Ha H. Gossypiboma in abdomen and pelvis: MRI findings in four patients. AJR Am J Roentgenol 2007;189:814-7.
  • 11 Lauwers PR, Van Hee RH. Intraperitoneal gossypibomas: The need to count sponges. World J Surg 2000;24:521-7.
  • 12 Park HJ, Im SA, Chun HJ, Park SH, O JH, Lee KY. Changes in CT appearance of intrathoracic gossypiboma over 10 years. Br J Radiol 2008;81:e61-3.