Gossypiboma

Case contributed by Mohammad Saboor Rastin
Diagnosis almost certain

Presentation

Abdominal pain and fever; history of appendectomy 3 weeks before.

Patient Data

Age: 20 years
Gender: Male
ct
  • there is a well-defined, sharply outlined, hypodense spongiform mass lesion with multiple internal gas bubbles in the right mid-abdomen surrounded by marked fat stranding and mild free fluid

  • the lesion measures about 8.3cm x 6.6cm x 7.7cm in CC, AP, and TR diameters

  • multiple enlarged abdominal lymph nodes are seen

Case Discussion

The CT features are suggestive of gossypiboma.

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