RT Journal Article SR Electronic T1 Textiloma as a complication of transsphenoidal surgery JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 369 OP 371 VO 16 IS 4 A1 Hsieh, Cheng-Ta A1 Chung, Tzu-Tsao A1 Chen, Yu-Hao A1 Li, Yao-Feng A1 Liu, Ming-Ying YR 2011 UL http://nsj.org.sa/content/16/4/369.abstract 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.