Gossypiboma: uterine

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left sided abdominal pain few months after cesarean section surgery.

Patient Data

Age: 25
Gender: Female
CT

CT abdomen and pelvis

Sizable well circumscribed lower abdominal lesion is seen measuring about 9 x 7 x 8 cm in maximum dimensions. It shows heterogeneous non-specific appearance with multiple air bubbles (spongiform appearance) and hyperdense markers. It is adherent/inseparable from the uterine fundus and the left adnexa which is enlarged (5x 3.8 cm). This is associated with wall thickening of the sigmoid colon coupled with marked peri-colonic inflammatory fat stranding.

IUCD in situ.

Case Discussion

Gossypiboma means a foreign body reaction to retained surgical sponge after operation inside a body cavity. It usually has a radio-opaque marker that make it easily identified on x-ray.

CT is the modality of choice for assessment of the extent and relations of the associated inflammatory reaction.

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Case information

rID: 52305
Case created: 1st Apr 2017
Last edited: 3rd Apr 2017
Inclusion in quiz mode: Included

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