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Gossypiboma

Case contributed by Abdallah Mohamed
Diagnosis certain

Presentation

Patient underwent Cesarean Section delivery. Three months later she presented with abdominal mass, pain and fever.

Patient Data

Age: 45 years
Gender: Female
x-ray

Abdomen scanogram from CT shows lace-like curvilinear densities projecting over the lower lumber vertebrae with gas bubbles in between.

ct

Left lower quadrant sharply defined rounded mass inseparable from the posterior rectus sheath probably at pro-peritoneal location. It has a uniform enhancing wall with core formed of gas foci and network of curvilinear dense lace-like structures.

Occasional GB small calculi.

Case Discussion

The case perfectly demonstrates a typical picture of gossypiboma (retained surgical sponge). At surgery, the wall of the mass was incidentally breached where frank pus came out.

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