PT - JOURNAL ARTICLE AU - Hsieh, Cheng-Ta AU - Chung, Tzu-Tsao AU - Chen, Yu-Hao AU - Li, Yao-Feng AU - Liu, Ming-Ying TI - Textiloma as a complication of transsphenoidal surgery DP - 2011 Oct 01 TA - Neurosciences Journal PG - 369--371 VI - 16 IP - 4 4099 - http://nsj.org.sa/content/16/4/369.short 4100 - http://nsj.org.sa/content/16/4/369.full SO - Neurosciences (Riyadh)2011 Oct 01; 16 AB - Transsphenoidal surgery is the mainstream in the management of sellar and anterior fossa diseases. However, textiloma, as known as cotton left behind during an operation, is rarely reported as a complication of transsphenoidal surgery. In this paper, we present a case of textiloma after transsphenoidal surgery. The patient had been suffering progressive blurred vision and she received transsphenoidal surgery for the diagnosis of pituitary tumor. However, the intermittent headaches persisted for half a year after the surgery. The subsequent images revealed a rim-like enhanced tumor in the sellar region. The retained cotton material was found when she underwent transcranial surgery. The etiology and management of textiloma are discussed, and the relevant literature also reviewed.