由於腹部手術不慎而殘存紗布引發開刀部位形成異物肉芽腫之病例已有文獻報告。但吾人報告此一病例,病患接受存股結石截除術二十多年後經影像學檢查發現左腎及胰臟頭各有一腫塊,此二病灶經再次手術證實為殘存紗布引發之異肉芽腫。本報告除了分析其影像學特徵外,並討論在原先手術部位以外形成異物肉芽腫可能之機轉。
Herein we are reporting a case of simultaneous occurrence of renal and pancreatic foreign body granuloma due to retained gauze. The different imaging features of the two lesions make correct preoperative diagnosis difficult. Foreign body granulomas due to retained surgical gauze or sponges should be considered in patients who have previous histories of operations and who also have a mass in the surgical bed. Simultaneous occurrence of foreign body granuloma away form primary surgical field is also possible