Pelvic gossypiboma

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Lower abdominal pain and tenderness. Status post transabdominal hysterectomy and right salpingo-oophorectomy 1 month prior.

Patient Data

Age: 40 years
Gender: Female
X-ray

Oops I forgot something?

Radiopaque convoluted curvilinear structure with gas foci in pelvis.

Ultrasound

Echogenic mass with posterior acoustic shadowing in pelvis.

CT

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

Case Discussion

Patient presented to the ED 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 CT scan revealed a gossypiboma with gas foci and a radiopaque marker within the retained surgical mop.

PlayAdd to Share

Case information

rID: 34766
Case created: 8th Mar 2015
Last edited: 24th Nov 2017
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.