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Magnetic resonance imaging of retained surgical sponges. Case report

H Sugimura1, S Tamura, Y Kakitsubata

  • 1Department of Radiology, Miyazaki Medical College, Japan.

Clinical Imaging
|October 1, 1992
PubMed

Insights

Post-surgical retained surgical sponges appear as distinct masses on magnetic resonance imaging (MRI). These masses show specific signal intensities and internal patterns on T1- and T2-weighted images, aiding in diagnosis.

Area of Science:

  • Radiology
  • Medical Imaging
  • Surgical Complications

Background:

  • Retained surgical sponges are a rare but serious complication following surgical procedures.
  • Accurate and timely diagnosis of retained surgical sponges is crucial for patient management.
  • Magnetic resonance imaging (MRI) is a key modality for soft tissue evaluation.

Observation:

  • This study describes the MRI characteristics of retained surgical sponges in three patients.
  • The sponges appeared as well-defined, round masses.
  • Specific signal intensities were observed: low on T1-weighted images and very high on T2-weighted images.

Findings:

  • Detailed analysis of T2-weighted images revealed characteristic internal structures within the masses.
  • These structures presented as wavy, striped, and/or spotted patterns.
  • These specific MRI findings raised suspicion for retained surgical sponges within mass lesions.

Implications:

  • The described MRI features can help radiologists differentiate retained sponges from other intra-abdominal masses.
  • Enhanced awareness of these imaging findings can improve diagnostic accuracy for retained surgical sponges.
  • This knowledge contributes to better patient outcomes by facilitating prompt identification and management of retained surgical items.

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