Gossypiboma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left lower abdominal pain in History of cesarean section 3 months prior.

Patient Data

Age: 30 years
Gender: Female
mri
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
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Info

Large well-circumscribed mass in the right upper pelvic region of a low signal on T1 and high signal on T2, containing serpiginous structures of intermediate to low signal with peripheral enhancement on postcontrast sequences. No pelvic lymphadenopathy or free fluid in the peritoneal cavity.

ultrasound
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Info

The ultrasound images demonstrate a hypoechoic fluid collection containing an arciform echogenic structure with intense posterior acoustic, highly suggestive of gossypiboma

Case Discussion

The clinical history, ultrasound and MRI features are most consistent with a gossypiboma that was confirmed at surgery (laparoscopic approach) as a surgical gauze.

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