Gossypiboma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right lower abdominal pain. Had C-section 10 days prior.

Patient Data

Age: 30 years
Gender: Female
ultrasound

The ultrasound images show an arciform echogenic structure with intense posterior acoustic shadowing located in the right iliac fossa. Normal appearance of the appendix.

The rest of the ultrasound exam was unremarkable.

Case Discussion

This ultrasound feature in a patient with a history of surgery is highly suggestive of a gossypiboma that was confirmed at surgery (surgical gauze).

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