Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  General Surgery
  •  Cardiovascular Surgery
  •  Orthopaedic Surgery
  •  Thoracic Surgery
  •  Surgical Oncology
  •  Bariatric Surgery
  •  Neurological Surgery
  •  Robotic Surgery


Citation: Clin Surg. 2018;3(1):1939.Research Article | Open Access

An Unusual Malignant Appearance of Gossypiboma : Case Report

Tahsin Batuhan Aydoğan, Eymen Gazel, Mehmet Yörübulut, Mehmet Ezer and Lütfi Tunç

Department of Urology, Hacettepe University School of Medicine, Turkey
Department of Urology, Acıbadem University, Ankara Hospital, Turkey
Department of Radiology, Acıbadem University, Ankara Hospital, Turkey
Department of Urology, Gazi University School of Medicine, Turkey

*Correspondance to: Eymen Gazel 

 PDF  Full Text DOI: 10.25107/2474-1647.1939


Objectives: The aim of this case presentation was to show a case of an unusual malignant appearance of gossypiboma on Magnetic Resonance Imaging (MRI) of the patient whom had a robotic laparoscopic surgery.Methods: A 38 year old woman with no known co-existing health problems had left open nephrolithotomy 10 years ago in another country. During her asymptomatic period an ultrasound for the control of existing nephrolithiasis history defined an incidentally heterogeneous mass including calcification and malign features of vascularization. A 4.7 cm × 4.5 cm × 5.3cm peripherally thick and irregular rim contrast uptake with a central weak contrast uptake sarcomatous mass was showed on post-Intravenous Contrast Material injected (IVCM) images of abdominal MRI. The solid mass was consisted with a peripherally fibro-vascular, a centrally necrotic-hypovascular areas respectively. A robotic partial nephrectomy was performed and during the operation the mass was obviously a gossypiboma which had malign patterns of neovascularization and contrast enhancement. The renal parenchyma was spared, and the gossypiboma was resected successfully. The specimen was then sent to the pathology department. The pathology report described a yellow-brown necrotic fatty tissue with histiocytic reaction including a foreign body composed of textile-cotton fragments inside.Results and
Conclusion: To date, the exact prevalence of gossypiboma is unknown due to malpractice claims and medicolegal problems. Therefore, there is an extremely limited literature concerning the follow-up periods of these patients. Although malignancy is a differential diagnosis for gossypibomas, our case report is unique due to the long asymptomatic period observed in the patient.


Gossypiboma; Robotic surgery; Laparoscopy; Nephrectomy; Renal cancer

Cite the article

Aydo?an TB, Gazel E, Y�r�bulut M, Ezer M, Tun� L. An Unusual Malignant Appearance of Gossypiboma : Case Report. Clin Surg. 2018; 3: 1939.

Search Our Journal

Journal Indexed In

Articles in PubMed

Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

LODDS was a Better Predictor for Lymph Node Status and was a Dependent Poor Prognostic Factor for Distal Extrahepatic Cholangiocarcinoma after Radical Surgical Resection
 Abstract  PDF  Full Text
Prevalence of Temporomandibular Disorders and Some of Its Risk Factors, According to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
 Abstract  PDF  Full Text
View More...