Surgicel mimicking abscess

Case contributed by Dr David Little

Presentation

Post right hemicolectomy. Unwell ?leak ?collection

Patient Data

Gender: Female
CT

In the left flank there is an extensive area of mixed fluid and gas density extending over approximately 18 cm in a craniocaudal direction.

Following discussion with the clinical team and review of the operation note it was determined that Surgicel material was left in place below the spleen which accounts for this appearance rather than a faeculent collection.

Case Discussion

Surgicel material should not be misinterpreted as a collection. If Surgicel is suspected then correlation with operative technique should be advised. 

 

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: 55898
Published: 28th Sep 2017
Last edited: 22nd Jun 2018
Inclusion in quiz mode: Included

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