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CASE REPORT
Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 33-36

Gossypiboma in the scrotum with unusual cutaneous manifestations


Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna state, Nigeria

Correspondence Address:
Ahmed Muhammed
Division of Urology, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.101270

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Background: Gossypiboma is retained cotton gauze in a patient after a surgical procedure. It is generally rare with incidence ranging between 1 per 1000 and 1500. Retained gauze in the scrotum is even rarer. Gossypiboma has occurred in virtually every surgical procedure despite taking adequate precautions and performing routine gauze count. The use of radio-opaque markers and radiofrequency tags on gauze is hoped to prevent the occurrence and aid in its detection. Case Report: A 65-year-old man presented with scrotal swelling, scrotal and groin skin nodular lesions 9 months after bilateral hydrocelectomy for vaginal hydrocele. Clinical evaluation revealed bilateral hemiscrotal swellings with a thickened hyperkeratotic skin, and multiple, firm, non-tender, nodular growths on the scrotum, groin, and mons-pubis. The enlarged scrotum contained a firm non-tender mass. The phallus was edematous and tortuous. He was also found to have metastatic carcinoma of the prostate. Scrotal ultrasound scan showed bilaterally enlarged testes with distorted echo pattern and a few abscess cavities. Multiple biopsies of the groin and scrotal nodular lesions showed non-specific chronic inflammation with no evidence of malignancy. The cause of the scrotal and groin lesions could not be determined before surgery. He had orchidectomy and scrotoplasty during which gauze was found in the scrotum. Conclusion: Retained gauze in the scrotum is uncommon. Our patient presented with unusual cutaneous lesions, making the diagnosis very difficult. Foreign body reaction should be considered as a possible cause of unusual skin lesions when seen around a site of previous surgery.


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