INCIDENTAL FINDING OF A TEXTILOMA MIMICKING A RETROPERITONEAL TUMOR – A CASE REPORT

Andrada Elena Mirescu1, F. Chiru2, A. Cărăgui1, Carmen Naum2, P. Hoară1
1The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
2Clinical Hospital “Saint Mary”, Bucharest, Romania
Corresponding author: Andrada Elena Mirescu
Phone no. 0040741956083
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Abstract

Textilomas represent pieces of foreign materials that can mimic tumors and evolve silently. We present the case of a 73-year-old male patient, with history of bilateral inguinal hernia repair, appendectomy, initially admitted to hospital for pain in the right flank area and bowel movement disorder represented by constipation, who was diagnosed by colonoscopy and biopsy with adenocarcinoma of the ascendant colon. The tomographic investigation revealed also another tumor with uncertain characters in the left iliac fossa retroperitoneal and partly behind the bladder. He underwent right hemicolectomy and left iliac fossa tumorectomy, with histopathological examination of the specimens. The results were adenocarcinoma of the right colon and a granulomatous reaction around a foreign body (surgical gauze). The textiloma was an incidental finding and the foreign material migrated intraabdominal after inguinal hernia repair.

Keywords: textiloma, retroperitoneal tumor

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