Forgotten Surgical Sponge Mimicking Fat Necrosis Following Breast Reduction Surgery.

Sandra Scharfetter, Laurenz Weitgasser, Florian Wimmer, Barbara Ebner, Elisabeth Russe, Gottfried Wechselberger

Abstract readCase Reports

In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Sandra ScharfetterFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Laurenz WeitgasserFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Florian WimmerFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Barbara EbnerDepartment of Radiology and Nuclear Medicine, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Elisabeth RusseFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Gottfried WechselbergerFrom the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A forgotten surgical sponge following surgery, also called textiloma, is a rare yet significant issue, whereas fat necrosis is more prevalent, particularly in breast surgery. We present a case experiencing persistent postoperative pain, a lump in the right breast, delayed wound healing, and the formation of a fistula following breast reduction surgery. The patient's symptoms were managed conservatively for 1 year because they were initially misdiagnosed as fat necrosis. A subsequent mammogram suggested a retained surgical sponge. The diagnosis of a textiloma was verified during surgical intervention. This case highlights the significance of implementing intraoperative preventive measures, including the meticulous counting of surgical sponges. Additionally, it emphasizes the importance of reassessing patients with unresolved symptoms.

Identifiers

PMID40698271

DOI10.1097/GOX.0000000000007007

PMCPMC12282715

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LicenceCC BY-NC-ND

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