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Marmara Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul Few case reports of forgotten foreign bodies after surgery exist in the neurosurgery literature. Asixty-year-old female patient, who had been operated on with a diagnosis of T12 compression fracture 20 years ago, was admitted to the hospital with 5-months-long low back pain and difficulty in walking. On the radiological imaging studies, a tumor-like mass located extradurally was seen just below the operation area. She was operated on with a diagnosis of spinal tumor; however the surgery revealed a forgotten sponge during the first operation. On pathological investigation of the tissue specimen no neoplasia was encountered. It has been concluded that a foreign body forgotten during surgery could mimic a tumor clinically and radiologically even after 20 years. Anahtar Kelimeler : Foreign body, spinal tumor, surgical gauze