Gossypiboma

Case contributed by Dr Liter Nguri

Presentation

C/o pain in right hypochondrium. H/o cholecystectomy 2 months back.

Patient Data

Age: 75 years
Gender: Male
CT

Contrast CT abdomen scan reveals a relatively well-circumscribed heterogenous lesion with multiple air foci within in subhepatic region closely abutting gall bladder fossa and displacing antro-pyloric region of the stomach. There are mild perilesional fat stranding, minimal collection and peritoneal thickening. The lesion shows heterogeneous peripheral enhancement seen on the post-contrast study, mild circumferential wall thickening at the antro-pyloric region of the stomach adjacent to the lesion is noted suggesting reactive inflammation. Fistulous communication to the stomack antrum is noted.
Mild circumferential wall thickening of ascending colon, cecum and transverse colon- suggesting inflammation.

Case Discussion

This case demonstrates the typical spongiform appearance of gossypiboma with multiple internal air foci in the postoperative bed​. The patient underwent surgery and the retained surgical sponge was removed.

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Case information

rID: 72682
Published: 7th Dec 2019
Last edited: 9th Dec 2019
Inclusion in quiz mode: Included

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