Gossypiboma mistaken for a hydatid cyst: case report
Bahadır Osman Bozkırlı1, Rıza Haldun Gündoğdu2, Pamir Eren Ersoy3, Soner Akbaba2, Mehmet Oduncu4
1Clinic of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey
2Clinic of General Surgery, Atatürk Training and Research Hospital, Ankara, Turkey
3Clinic of General Surgery, Güven Hospital, Ankara, Turkey
4Clinic of General Surgery, Samandağ Güneypark Hospital, Hatay, Turkey
Abstract
Although considered a rare complication, gossypiboma continues to be a clinically important and probably more frequently encountered than reported situation. This study aimed to report a case of gossypiboma that was mistaken for a hydatid cyst in the preoperative evaluation. A 34-year-old male patient with a history of Nissen Fundoplication presented with a large mass palpable in the epigastrium and both the left upper and lower quadrants of the abdomen. Computerized tomography was reported to show a 20x18 cm cystic mass with a collapsed germinative membrane inside it. Laparotomy, which was performed with a suggested diagnosis of type 3 hydatid cyst, revealed that the mass was caused by a 30x30 cm surgical abdominal compress. We believe gossypiboma should be kept in mind in the differential diagnosis of abdominal hydatid cysts in the presence of a former abdominal operation, especially when the result of indirect hemagglutination test is negative.
Keywords: Gossypiboma, retained foreign body, hydatid cyst
Cite this article as: Bozkırlı BO, Gündoğdu RH, Ersoy PE, Akbaba S, Oduncu M. Gossypiboma mistaken for a hydatid cyst: case report. Turk J Surg 2020; 36 (4): 405-408.
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - B.O.B., PE.E., M.O.; Design - All of authors; Supervision - R.H.G., S.A.; Materials - All of authors; Data Collection and/or Processing - B.O.B., S.A., M.O.; Analysis and/or Interpretation - B.O.B., R.H.G., P.E.E.; Literature Search - All of authors; Writing Manuscript - B.O.B.; M.O.; Critical Reviews - R.H.G., P.E.E., S.A.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.