Leg textiloma. A case report.

[focal myositis]

To report and highlight the potential diagnostic pitfalls and consequences of leg textiloma .A soft tissue pseudotumor of the left leg diagnosed in a 58 -year -old man is described . The lesion was caused by a retained surgical gauze after surgery for varicose veins . The surgical gauze had remained in the subcutaneous tissue for 3 years and led to the formation of a 3 -cm , well-circumscribed , pseudotumoral foreign body granuloma which appeared like a soft tissue tumor . A surgical intervention was performed and the mass was excised . During the procedure an old surgical gauze was found . The histologic examination revealed that a large foreign body granuloma (pseudotumor ) had developed in contact with foreign material birefracting under polarized light (gauze ). No sign of malignancy was noted .Although no fatal complications have been described in the musculoskeletal localization , the diagnosis is difficult and costly . According to clinical presentation , a differential diagnosis should be made between a tumoral lesion , such as a sarcoma , or a pseudotumoral lesion , such as a gossypiboma . Focal myositis or infections should also be suspected .

Diseases
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Diseases presenting "soft tissue tumor" symptom

focal myositis

liposarcoma

well-differentiated liposarcoma

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