Radiopaedia’s Black Friday Course Sale continues! SHOP NOW

Retained surgical gauze - soft tissue

Case contributed by Dr Ammar Haouimi

Presentation

Painful swelling of the lateral aspect of the left thigh with no fever, intertrochanteric frature of the left hip treated by dynamic hip screw fixation three weeks ago.

Patient Data

Age: 70 years
Gender: Female

There is a relatively well-defined fusiform mass within the vast lateralis muscle, spontaneously hyperdense with a hypodense central area (air). No enhancement seen on postcontrast images. A deep subcutaneous hypodense collection with no peripheral enhancement is seen along the cutaneous scar (effusion of serosity).

The annotated images showing the location of the foreign body (retained gauze)

Case Discussion

CT features of a soft tissue foreign body. At surgery, a surgical gauze (or textiloma) was removed from the same area.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.