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Gossypiboma in the Abdomen: A Case Report |
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Dong Hyun Kim, M.D. Hyung Guhn Lim, M.D., Ju Nam Byun, M.D., Dong Hun Kim, M.D., Sung Chul Lim, M.D.* |
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Department of Radiology, Chosun University College of Medicine *Department of Pathology, Chosun University College of Medicine |
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Gossypiboma is retained surgical sponge or swab. We experienced a case of gossypiboma resulting from a retained
surgical sponge, which had been left in intraperitoneal cavity for 4 years after appendectomy. Abdominal CT
scan revealed a non-calcified soft tissue mass with wall enhancement. We thought this lesion was an abscess or
hematoma. So we tried to perform aspiration and drainage guided by ultrasonography. Ultrasonography showed illdefined
hyperechoic stripe with strong posterior acoustic shadow within the mass, which has hypoechoic fibrous
capsule. We could not puncture the lesion with aspiration needle due to its hardness, and the mass was removed by
surgery. We report a case of gossypiboma confirmed by surgery, which was suspected by ultrasonographic feature
and difficulty in puncture of mass. |
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Keyword : Abdomen, CT Abdomen, US Surgery, complications |
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pdf파일 : 21-24김동현.pdf
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