Presentation
Left lower abdominal pain. History of cesarean section 2 years prior.
Patient Data
Age: 40 years
Gender: Female
From the case:
Gossypiboma
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Large well-circumscribed ovoid mass in the left upper pelvic region of intermediate to high signal on T1 and high signal on T2, containing serpiginous structures of intermediate to low signal on T2, with peripheral enhancement on postcontrast sequences (granuloma). No pelvic lymphadenopathy or free fluid in the peritoneal cavity.
Normal appearance of the uterus and ovaries.
Case Discussion
The clinical history and MRI features are most consistent with a gossypiboma that was confirmed at surgery (laparoscopic approach) as a surgical gauze.
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