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Vol. 20. Issue 1.
Pages 44-48 (January 2009)
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Vol. 20. Issue 1.
Pages 44-48 (January 2009)
Gossypiboma en Neurocirugía. Descripción de un caso y revisión de la literatura
Gossypiboma in Neurosurgery. Case report and literature review
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1753
A.M. Baldión- Elorza*
* Departamentos de Neurocirugía y Patología
G. Chater-Cure
Corresponding author
gchater@hotmail.com
ejimenezmd@gmail.com

Correspondencia postal: George Chater Cure. MD, Enrique Jiménez Hakim. MD. Fundación Santa Fe de Bogotá. Av 9 #117–20, Asociacion Médica Los Andes cons (822) Bogotá. Colombia.
, A. Fonnegra-Caballero, E. Jiménez-Hakim
Hospital Universitario Fundación Santa Fe de Bogotá. Colombia
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Resumen

Los términos gossypiboma, textiloma o cuerpo extraño textil retenido son términos médicos usados para describir elementos quirúrgicos textiles que intencional o accidentalmente son dejados sobre el lecho quirúrgico, generando una reacción a cuerpo extraño. Es una patología prevenible siempre y cuando se tomen algunas medidas durante la cirugía. Los gossypiboma son poco frecuentes a nivel del sistema nervioso central. Son más frecuentes en las cirugías torácicas o abdominales. Dependiendo de su localización y su comportamiento, éstos pueden presentar complicaciones y sintomatología o pueden permanecer silentes por muchos años.

En este trabajo se presenta un caso de un gossypiboma paraespinal asintomático en una paciente operada 15 años antes para una discectomía lumbar. Se hace además una revisión de la literatura y se comenta acerca de la implicación de estas lesiones en neurocirugía.

Palabras clave:
Textiloma
Gossypiboma
Reacción a cuerpo extraño
Masa paraespinal Sistema nervioso central
Neurocirugía
Summary

The terms gossypiboma, textiloma or retained foreign objects are medical terms used to describe textile elements that are left intentionally or accidentally in the operative site and generate a reaction to foreign objects. It can be avoided when preventive measures are taken during surgery. Gossypibomas are rare in surgery of the central nervous system. They are more frequent in thoracic and abdominal surgeries. Depending on their location they can present with complications and symptoms or they may remain undetected for many years.

In this article we want to present a case of a spinal asymptomatic gossypiboma in a patient who was operated on 15 years ago for a lumbar disectomy. We will review the literature on the implications of these lesions on the neurosurgical field.

Key words:
Textiloma
Gossypiboma
Foreign object reaction
Spinal mass
Central nervous system
Neurosurgery

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