Infected Textiloma, 35 Years after the Operation forFemur Fracture, an extermly rare occurance

Document Type : CASE REPORT


Kerman Neuroscience Research Center, Dr Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran


Retained gauze after surgery is an uncommon error and it may be associated with many complications. We are reporting our case to call attention to the fact that retained gauze may become symptomatic even after a very long interval.
Herein we report on a patient who developed infection and fistula with discharge from this error 35 years after a surgery
for femur fracture and insertion of a IM nail. The diagnosis was easily made because of a marker in the gauze. Removal of the gauze and irrigation and debridement of the wound in two stages led to complete recovery of the patient as was shown in the 1 year follow up.
Retained gauze after surgery is a preventable complication and may be asymptomatic for a very long period, but can become a complication post-operatively at any time. Hence, if diagnosed immediately after the surgery or at any other time, the gauze should be removed.


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Volume 1, Issue 1 - Serial Number 1
September 2013
Pages 41-43
  • Receive Date: 06 June 2013
  • Revise Date: 29 July 2013
  • Accept Date: 18 September 2013
  • First Publish Date: 18 September 2013