Surgicel in gallbladder fossa mimicking abscess

Case contributed by Dr David Little

Presentation

Unwell post cholecystectomy ?collection

Patient Data

Gender: Male

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.

Case Discussion

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.

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Case information

rID: 55899
Case created: 28th Sep 2017
Last edited: 20th Oct 2017
Inclusion in quiz mode: Included

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