An unusual retroperitoneal cystic tumor

This report describes a case of textiloma (term given to an inflammatory sw elling caused by a retained textile foreign body) in a 60-year-old patient who had undergone surgery for a perforated gastroduodenal ulcer 17 years ea rlier, On examination the presence of a large mass was detected on the left hypochondria, A CT scan confirmed a cystic tumor with images suggesting de tritus or necrosis in its lower part, as well as calcifications, Transperit oneal midline laparotomy was performed with extension by thoracophrenolapar otomy. Splenectomy was necessary, Macroscopic examination showed a spherica l mass. After opening the tumor, retained surgical gauze was found. The his topathological diagnosis was granulomatosis reaction to a foreign body. Cop yright (C) 2000 S. Karger AG. Basel.