Presentation
Unwell post cholecystectomy ?collection
Patient Data
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 recognized the appearance as typical of Surgicel hemostatic 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.