Gossypiboma

Presentation

Nonspecific abdominal complaints. History of prior surgery.

Patient Data

Age: 45 years
Gender: Female
CT

CT Abdomen and pelvis

CT finding of a low-density heterogeneous spongiform mass containing gas bubbles with an external enhancing wall. Note the thin metallic structure seen in the periphery of the mass and in a tri-dimensional perspective on volume rendering.

Pathology

Gross pathology shows a retained sponge in a bowel segment. On the surgical sponge, the blue stripe corresponds to the metallic marker seen in the CT study.

Case Discussion

This patient had a history of surgery three years ago at which time a surgical pack was left in situ forming a gossypiboma

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Case information

rID: 23222
Published: 29th May 2013
Last edited: 6th Nov 2018
Inclusion in quiz mode: Included

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