Gossypiboma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic upper pelvic pain. Had a cesarean section 3 years ago.

Patient Data

Age: 35 years
Gender: Female
ultrasound

Large cystic structure in the upper mid-pelvic region measuring 13 x 12 x 9 cm containing echogenic material with intense posterior acoustic shadowing.

Case Discussion

Ultrasound features most consistent with a gossypiboma that was confirmed at surgery (retained surgical gauze).

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