Surgicel in gallbladder fossa mimicking abscess
Unwell post cholecystectomy ?collection
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Within the gallbladder fossa there is a fluid collection containing multiple locules of gas. This was initially reported as abscess.
Images reviewed prior to percutaneous drainage. Interventional radiologist recognised the appearance as typical of Surgicel haemostatic pack, this was confirmed by operating surgeon.
Surgicel material may mimic postoperative abscess on CT.
All radiologists should be aware of this and familiar with the appearance on post-operative CT to avoid misdiagnosis .
Clinical information indicating the use of Surgicel is the most useful factor in differentiating between abscess and Surgicel.
Disclosure: I, David Little, have no actual or potential ethical or financial conflict of interest in relation to this product. This case is not intended to be a personal endorsement or recommendation of this product.