Presentation
Pelvic pain in pregnant patient at 5 weeks gestation. Had a cesarian section 1 year prior.
Patient Data
Age: 40 years
Gender: Female
From the case:
Gossypiboma
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Well-defined cystic structure in Douglas pouch containing hyperechoic materials with intense posterior acoustic shadowing.
From the case:
Gossypiboma
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Large well-circumscribed mass in Douglas pouch composed of serpiginous structures of low signal on T1 and intermediate signal on T2 with surrounding fluid collection. No pelvic lymphadenopathy or free fluid in the peritoneal cavity.
Small intrauterine gestational sac is noted.
Case Discussion
The clinical history, ultrasound and MRI features are most consistent with a gossypiboma that was confirmed at surgery (laparoscopic approach).
Additional contributor: Dr. H Madjour, Gynecologist, Batna, Algeria.