{"title":"Deciphering the Ultrasound, CT, and MRI Imaging Features of a Post-Vaginal Hysterectomy Gossypiboma Hiding as a Pelvic Mass-A Case Report.","authors":"Isha Gupta, Pankaj Nitharwal, Ayush Gupta, Ankita Gupta, Mukesh Mittal","doi":"10.1002/jcu.23898","DOIUrl":null,"url":null,"abstract":"<p><p>Gossypiboma, or retained surgical sponge, is a rare post-surgical complication with very few reported cases due to medico-legal purposes. Diagnosis is very challenging due to the myriad of clinical presentations and imaging features. We present the case of a gossypiboma detected in a 72-year-old female with a recent history of vaginal hysterectomy. We describe the imaging findings in detail with the step-wise use of X-rays and ultrasound in raising suspicion and computed tomography (CT) and magnetic resonance imaging (MRI) to rule out other differentials and finally come to the diagnosis of gossypiboma, which was confirmed surgically.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.23898","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
引用次数: 0
Abstract
Gossypiboma, or retained surgical sponge, is a rare post-surgical complication with very few reported cases due to medico-legal purposes. Diagnosis is very challenging due to the myriad of clinical presentations and imaging features. We present the case of a gossypiboma detected in a 72-year-old female with a recent history of vaginal hysterectomy. We describe the imaging findings in detail with the step-wise use of X-rays and ultrasound in raising suspicion and computed tomography (CT) and magnetic resonance imaging (MRI) to rule out other differentials and finally come to the diagnosis of gossypiboma, which was confirmed surgically.
期刊介绍:
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.