Gossypiboma - thigh

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Had surgery for a large post traumatic hematoma of the right thigh one month ago, presented a painless hard lump under the surgical scar.

Patient Data

Age: 45 years
Gender: Male
x-ray

There is a well-delineated ovoid mass containing air-bubbles within the soft tissues of the upper thigh with no adjacent femoral bone lesion seen.

ultrasound

The ultrasound images demonstrate a thick-walled echogenic lesion with posterior acoustic shadowing of subaponeurotic location under the surgical scar.

Case Discussion

The radiographic and ultrasound features are those of a soft tissue foreign body. At surgery, a surgical gauze (or textiloma) was removed from the same area.

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