Download PDF
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
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

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/).

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

 

  • References

  • 1 Tringali G, Broggi M, Didato G. et al. Textilloma mimicking an intracranial postoperative abscess. J Neurol Disord 2015; 3: 213
    Google Scholar
  • 2 Kucukyuruk B, Biceroglu H, Abuzayed B, Ulu MO, Kafadar AM. Paraspinal gossybipoma: a case report and review of the literature. J Neurosci Rural Pract 2010; 1 (02) 102-104
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Williams RG, Bragg DG, Nelson JA. Gossypiboma–the problem of the retained surgical sponge. Radiology 1978; 129 (02) 323-326
    CrossrefPubMedGoogle Scholar
  • 4 Akpinar A, Ucler N, Ozdemir CO. Textiloma (gossypiboma) mimicking recurrent intracranial abscess. BMC Res Notes 2015; 8: 390
    CrossrefPubMedGoogle Scholar
  • 5 O’Connor AR, Coakley FV, Meng MV, Eberhardt SC. Imaging of retained surgical sponges in the abdomen and pelvis. AJR Am J Roentgenol 2003; 180 (02) 481-489
    CrossrefPubMedGoogle Scholar
  • 6 Guerin C, Heffez DS. Inflammatory intracranial mass lesion: an unusual complication resulting from the use of Gelfoam. Neurosurgery 1990; 26 (05) 856-859
    CrossrefPubMedGoogle Scholar
  • 7 Apel-Sarid L, Cochrane DD, Steinbok P, Byrne AT, Dunham C. Microfibrillar collagen hemostat-induced necrotizing granulomatous inflammation developing after craniotomy: a pediatric case series. J Neurosurg Pediatr 2010; 6 (04) 385-392
    CrossrefPubMedGoogle Scholar
  • 8 Apter S, Hertz M, Rubinstein ZJ, Zissin R. Gossypiboma in the early post-operative period: a diagnostic problem. Clin Radiol 1990; 42 (02) 128-129
    CrossrefPubMedGoogle Scholar
  • 9 Atabey C, Turgut M, Ilica AT. Retained surgical sponge in differential diagnosis of paraspinal soft-tissue mass after posterior spinal surgery: report of eight cases. Neurol India 2009; 57 (03) 320-323
    CrossrefPubMedGoogle Scholar
  • 10 Nassar I, Mahi M, Semlali S. et al. Textilome intracrânien. J Neuroradiol 2004; 31 (02) 148-149
    CrossrefPubMedGoogle Scholar
  • 11 O’Shaughnessy BA, Schafernak KT, DiPatri Jr AJ, Goldman S, Tomita T. A granulomatous reaction to Avitene mimicking recurrence of a medulloblastoma. Case report. J Neurosurg 2006; 104 (01) 33-36
    Google Scholar
  • 12 Renati S, Kaur S, Kresak JL, Wicklund M, Malaty I. Granulomatous meningitis secondary to Avitene (microfibrillar collagen. Neurol Clin Pract 2017; 7 (05) 384-386
    CrossrefPubMedGoogle Scholar
  • 13 Coche G, Pardonnet MH, Chanois AM. et al. [Ultrasonography and x-ray computed tomography in the diagnosis of intra-abdominal textiloma. Apropos of 12 cases]. J Radiol 1988; 69 (04) 243-251
    PubMedGoogle Scholar
  • 14 Marquardt G, Rettig J, Lang J, Seifert V. Retained surgical sponges, a denied neurosurgical reality? Cautionary note. Neurosurg Rev 2001; 24 (01) 41-43
    CrossrefPubMedGoogle Scholar