Surgical hemostatic material (Surgicel)

Case contributed by Khalid Alhusseiny
Diagnosis possible

Presentation

Mild upper abdominal pain 10 days following laparoscopic cholecystectomy.

Patient Data

Age: 80 years
Gender: Female
ultrasound

There is a well defined hypoechoic collection with multiple peripheral echogenic foci (gas foci) seen at the gallbladder bed. No evidence of internal or marginal vascularity seen on color-flow imaging.

Case Discussion

Post-operative surgical hemostatic material (Surgicel) can be mistaken for post-operative collection or abscess. Familiarity with Surgicel appearance on different imaging modalities and the availability of surgical information provided by the surgical team are crucial for diagnosis.

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