Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Bahadır Osman Bozkırlı1, Rıza Haldun Gündoğdu2, Pamir Eren Ersoy3, Soner Akbaba2, Mehmet Oduncu4

1Department of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey
2Department of General Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
3Department of General Surgery, Güven Hospital, Ankara, Turkey
4Department 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. Here we present 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. Computed tomography was reported to show a 20×18 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 30×30 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 the indirect hemagglutination test is negative.

Keywords: Gossypiboma, retained foreign body, hydatid cyst

This study was presented at the XVI. Annual Meeting of the European Society of Surgery, 22-24 November 2012, İstanbul, Turkey.
Cite this paper as: Bozkırlı BO, Gündoğdu RH, Ersoy PE, Akbaba S, Oduncu M. Gossypiboma mistaken for a hydatid cyst. Turk J Surg 2018; 10.5152/turkjsurg.2017.3742