Pelvic gossypiboma

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Patient has history of transabdominal hysterectomy and right salpingo-oophorectomy 1 month prior, presented with lower abdominal pain and tenderness.

Patient Data

Age: 45 years
Gender: Female
X-ray

Radio-opaque convoluted curvilinear structure with air foci in pelvis.

Ultrasound

Echogenic mass with posterior acoustic shadowing in pelvis.

CT

Pelvic collection containing air foci and a curvilinear metallic density structure.

Case Discussion

Patient presented to emergency department with lower abdominal pain for which abdominal ultrasound was carried out. The lesion was mistaken for a calcified mass in the residual ovary. Further history taking, x-ray and subsequent CT scan revealed a gossypiboma with air foci and a radio-opaque marker within the retained surgical mop.

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Case information

rID: 34766
Case created: 8th Mar 2015
Last edited: 11th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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