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Current Rheumatology Reviews

Eiditor-in-Chief

ISSN (Print): 1573-3971
ISSN (Online): 1875-6360

Case Report

Gauzoma in A Scleroderma Patient Following Open Heart Surgery: A Case Report

Author(s): Mohammadali Nazarinia and Elmira Esmaeilzadeh*

Volume 15 , Issue 1 , 2019

Page: [79 - 81] Pages: 3

DOI: 10.2174/1573397114666180423104410

Price: $58

Abstract

Introduction: Gauzoma is an iatrogenic complication which occurs rarely due to surgical team negligence. Depending on the sterility of the retained tissue, it can lead to life threatening surgical complications or may remain asymptomatic for many years and be detected incidentally in imaging studies. It may be mistaken as tumors or aneurysms. Thus, high clinical suspicion is needed to diagnose them in patients with past history of operation.

Reporting Case: A 35 years old woman, a known case of scleroderma underwent open-heart surgery 20 years before being diagnosed as scleroderma, presented by dyspnea especially on activity. The High Resolution CT (HRCT) for evaluating the interestial lung disease was done which detected a 7 cm (in greatest diameter) inflammatory mass in posterior aspect of left hemi thorax with a radiopaque thread in its center. True cut biopsy was done and sent for pathology, which revealed fragments of foreign body materials probably gauze pad fibers with cell debris and blood.

Conclusion: Here, we highlighted the details in clinical history, CT findings, and pathology report of gauzoma in thorax of a scleroderma patient following previous open-heart surgery. It can be guidance for clinician to consider this diagnosis in patients with past history of operation.

Keywords: Gauzoma, gossypiboma, scleroderma, systemic sclerosis, open heart surgery, iatrogenic complication.

Graphical Abstract
[1]
Patrini D, Gulamhussein MA, Pellegrino P, et al. A retained foreign body granuloma mimicking a left ventricular psuedoanuerysm. Int J Surg Case Rep 2016; 28: 57-9.
[2]
Kumar R, Nadarajah J, Kumar A, Gamanagatti S. Misery of neurosurgeon: Gauzoma causing foreign body granuloma-role of radiologist. Asian J Neurosurg 2016; 11(1): 74-5.
[3]
Kothbauer KF, Jallo GI, Siffert J, Jimenez E, Allen JC, Epstein FJ. Foreign body reaction to hemostatic materials mimicking recurrent brain tumor. Report of three cases. J Neurosurg 2001; 95(3): 503-6.
[4]
Kim AK, Lee EB, Bagley LJ, Loevner LA. Retained surgical sponges after craniotomies: Imaging appearances and complications. AJNR Am J Neuroradiol 2009; 30(6): 1270-2.
[5]
Tzeng JE, Wei CK, Chang SM, Lin CW. Surgical Gauze Pseudotumor (Gauzoma) - A Case Report. Tzu Chi Med J 2006; 18(1): 49-51.
[6]
Gonzalez L, Villalta J, Sala X, Pujol A, Ingelmo M. [Perinephritic abscess caused by a cloth foreign body: Clinical and radiological findings]. Medicina clinica 1982; 78(5): 209.
[7]
Felsberg GJ, Tien RD, Haplea S, Osumi AK. Muslin-induced optic arachnoiditis (“gauzoma”): Findings on CT and MR. J Comput Assist Tomogr 1993; 17(3): 485-7.
[8]
Nemati MH. Mediastinal gossypiboma simulating a malignant tumour. Interact Cardiovasc Thorac Surg 2012; 15(4): 783-5.

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