Paraspinal gossypibomas

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Persistent upper lumbar pain in a patient operated three months prior for a spinal schwannoma.

Patient Data

Age: 35 years
Gender: Male
ultrasound

Bilateral arciform echogenic structure with intense posterior acoustic located in the paraspinal regions.

ct

Few non-enhanced CT cuts were performed after the ultrasound exam centered on L2 vertebrae show a well-defined ovoid structures in the paraspinal regions (mean attenuation = 100 HU) with no air bubbles.

Case Discussion

The ultrasound and CT features in a patient with a history of surgery is highly suggestive of a gossypiboma which was confirmed at surgery (two surgical gauzes were removed).

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