Presentation
Lower abdominal pain and tenderness. Status post transabdominal hysterectomy and right salpingo-oophorectomy 1 month prior.
Patient Data
Age: 40 years
Gender: Female
Frontal
Radiopaque convoluted curvilinear structure with gas foci in pelvis.
From the case:
Pelvic gossypiboma
Longitudinal
Echogenic mass with posterior acoustic shadowing in pelvis.
From the case:
Pelvic gossypiboma
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Axial C+ portal venous phase
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.