Gossypiboma: an interesting incidental finding. Presentation of a case

Abstract

Introduction: the textilema is a known event, but of scarce appearance. They are most commonly described as foreign bodies left in the body after surgery. The most common site of presentation is the abdominal cavity, although the thoracic region, the paraspinal muscles, the lower limbs, and the skull may be involved.Case presentation: a 36-year-old female patient with a history of cesarean section a year earlier and a micro-cesarean section two months ago due to a mesenteric cyst that was diagnosed in a follow-up obstetric consultation. He attended the surgery service and with the administration of combined anesthesia (general orotracheal and continuous epidural regional) an exploratory laparotomy and exeresis of the lesion was performed. The anatomopathological study reported a textoma. The postoperative period was uncomplicated and the patient was discharged 12 days after surgery.Discussion: Textilema is a rare complication. Sometimes due to low clinical suspicion and inconclusive radiological reports, it can go unnoticed. The treatment includes preventive measures and its complete removal avoids fatal complications.Conclusions: faced with a patient with an abdominal tumor and a previous history of surgery, textiloma should be considered as a differential diagnosis. The anatomopathological study represents a safe, reliable and vital test for the accurate diagnosis of this eventuality.