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Oxidized regenerated cellulose imitating pelvic abscess.

Sadikah Behbehani¹, Togas Tulandi

¹Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.

Obstetrics and Gynecology

|January 25, 2013

Summary

Oxidized regenerated cellulose, a common surgical hemostatic agent, can mimic abscesses on imaging after gynecologic surgery. Prompt reporting of its use to imaging departments is crucial for accurate diagnosis and patient care.

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Area of Science:

Gynecologic Surgery
Radiology
Surgical Hemostasis

Background:

Oxidized regenerated cellulose is a widely used topical hemostatic agent in abdominal and pelvic surgeries.
While known to mimic abscesses postoperatively, its specific side effects in gynecologic surgery remain under-documented.

Observation:

Two cases are presented where intra-abdominal oxidized regenerated cellulose was misidentified as an abscess on computed tomography (CT) scans.
The patients were diagnosed with postoperative abscesses, with the cellulose mistaken for or appearing as part of an abscess.

Findings:

Oxidized regenerated cellulose can radiologically resemble an abscess or be integrated into abscess imaging findings.
Both patients recovered successfully with antibiotic treatment, with or without surgical drainage.

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Implications:

Radiologists and clinicians must be aware that oxidized regenerated cellulose can be mistaken for an abscess on imaging.
Clear communication regarding the intraoperative use of oxidized regenerated cellulose is essential for accurate interpretation of postoperative imaging in gynecologic patients.