Diagnostic Value of US and CT in an Unusual Case of Asymptomatic Intrauterine Gossypiboma

Authors

  • George Hadjidekov Department of Radiology, University Hospital “Lozenets, Sofia 1407,
  • Dayana Yankova Department of Radiology, University Hospital “Lozenets, Sofia 1407
  • Maria Yankova Department of Obstetrics and Gynаecology, University Hospital “Lozenets, Sofia 1407
  • Dorina Asenova Department of Obstetrics and Gynаecology, University Hospital “Lozenets, Sofia 1407

Keywords:

Retained foreign body (RFB), Cesarean procedure, Surgical sponge, Gossypiboma, Uterus, Computed Tomography, Ultrasound.

Abstract

Foreign-body material such as surgical sponge, accidentally retained in the human body, is termed gossypiboma or textiloma. This may result in foreign-body reaction with severe surgical complications if left unknown. Computed tomography (CT) and ultrasound (US) are preferred methods for detection of gossypibomas. The radiologic features on CT are characteristic whatever in any location – spongiform mass with gas bubbles, low-density mass with a thin enhancing capsule and calcified depositions along the network architecture of a surgical sponge. US also provides a typical appearance of hypoechoic or anechoic mass with distal loss of signal. Surgical removal is mandatory considering the amount of possible complications. We present a case of rare localization of asymptomatic intrauterine gossypiboma and discuss the common US and CT features of this infrequent entity.

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Published

2018-12-13

Issue

Vol. 5 No. 3 (2018)

Section

Articles

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