Gossypiboma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Had total hysterectomy 2 months prior for placenta increta.

Patient Data

Age: 35 years
Gender: Female
ct

The scout view shows a left upper pelvic opacity containing gas bubbles.

The CT scan shows a large well-encapsulated intraperitoneal ovoid hypodense structure of mixed content (fluid and air-bubbles) with peripheral enhancement and surrounding fat stranding.

Case Discussion

The CT feature in a patient with a history of surgery is most consistent with a gossypiboma which was confirmed at surgery (large gossypiboma).

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