Gossypiboma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Pelvic pain. Had surgery 10 years ago for adnexal cyst (histological report not available).

Patient Data

Age: 55 years
Gender: Female
mri

Large well-defined ovoid mass in the intervesicouterine space of intermediate signal on T1, intermediate to high signal on T2, containing serpiginous structures of intermediate to low signal on T2, with peripheral enhancement on postcontrast sequences (granuloma). No free fluid in the peritoneal cavity or pelvic lymphadenopathy.

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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