Pelvic gossypiboma

Case contributed by 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

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x-ray

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.

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