The patient presented with abdominal pain, tenderness, fever, and pus discharge from the incision site 1 month after hysterectomy.
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Heterogeneous intra-peritoneal collection located behind anterior abdominal wall at the level of the surgical incision site. It shows thin enhancing wall with multiple small internal gas bubbles and hyperdense curvilinear structures.
Considering the history of a recent abdominal surgery, findings are highly suggestive of a gossypiboma.