Abdominal Textiloma: An Unusual Postoperative Complication in Post Traumatic Patient

Abstract

Textiloma is a mass that can be formed inside the body after surgical procedure. It is unusual and preventable surgical complication. A 60-year-old man presented to the emergency department as a case of acute abdomen. He had a previous history of surgery after RTA before 48 months in may (2018). His radiological investigations showed a radiological marker of a missed gauze between diaphragm and liver. A laparotomy was done. The missed gauze had been removed from liver which was most likely used as packing over liver surfaces during his previous operation. Textiloma was the diagnosis. The aim of our case report is to emphasize the importance of this condition and the challenges of the diagnosis as well as, how it can be prevented by counting of swab or radiological markers. Textiloma can be presented late after many years, so it should be kept in mind as a differential diagnosis of acute abdomen and peritonitis with previous history of surgery.