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Related Experiment Videos

Lumbar gossypiboma.

Gülnur Erdem1, Ozkan Ateş, Ayhan Koçak

  • 1Department of Radiology, Inönü University School of Medicine, Malatya, Turkey. gerdem@inonu.edu.tr

Diagnostic and Interventional Radiology (Ankara, Turkey)
|October 9, 2009
PubMed
Summary

Gossypiboma, a retained surgical sponge, can cause delayed diagnosis due to vague symptoms. Diffusion-weighted MRI helps differentiate gossypiboma from abscesses by analyzing signal intensity and ADC values.

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Area of Science:

  • Radiology
  • Surgical Pathology

Background:

  • Gossypiboma, a retained surgical sponge, presents diagnostic challenges due to often asymptomatic or nonspecific clinical manifestations.
  • Delayed diagnosis of gossypiboma can occur months to years post-surgery, necessitating advanced imaging techniques.

Observation:

  • This case report details the imaging findings of a symptomatic retained surgical sponge in a lumbar laminectomy site in a 43-year-old female.
  • Multimodal imaging, including ultrasonography, CT, MRI, and diffusion-weighted MRI, was utilized to evaluate the mass.

Findings:

  • Gossypiboma should be included in the differential diagnosis for masses in patients with a surgical history.
  • Diffusion-weighted MRI demonstrated characteristic low signal intensity and increased apparent diffusion coefficient (ADC) for gossypiboma, distinguishing it from abscesses which show high signal intensity and low ADC.

Implications:

  • Diffusion-weighted MRI offers valuable data for the differential diagnosis of gossypiboma.
  • Accurate and timely diagnosis of retained surgical sponges is crucial for patient management and preventing complications.

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