Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge
Gossypiboma, a retained surgical foreign body, is a rare but serious complication with variable clinical and radiological features, posing diagnostic challenges. This case report describes a 55-year-old female with a history of total abdominal hysterectomy and incisional hernioplasty, presenting wit...
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| Series: | Indian Journal of Radiology and Imaging |
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| author | Deepthi Sanagavarapu Vihar Reddy Mallapu Vadlapally Karuna D. Ankamma Rao Mallikarjuna Reddy Mandapati |
| author_facet | Deepthi Sanagavarapu Vihar Reddy Mallapu Vadlapally Karuna D. Ankamma Rao Mallikarjuna Reddy Mandapati |
| author_sort | Deepthi Sanagavarapu |
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| description | Gossypiboma, a retained surgical foreign body, is a rare but serious complication with variable clinical and radiological features, posing diagnostic challenges. This case report describes a 55-year-old female with a history of total abdominal hysterectomy and incisional hernioplasty, presenting with a 6-month history of insidious abdominal pain and a palpable right iliac fossa mass. Initial ultrasound suggested a mesenteric dermoid, but her surgical history raised suspicion of gossypiboma. Computed tomography revealed a nonenhancing hypodense lesion with a curvilinear high-density structure (average attenuation of 1200 HU) within causing streak artifacts, characteristic of a radiopaque surgical sponge marker, confirming the diagnosis. Exploratory laparotomy identified an encapsulated surgical mop with dense adhesions, necessitating adhesiolysis, appendectomy, and ileal resection. The postoperative course was uneventful. This case highlights the importance of considering gossypiboma in patients with prior surgery, even without classic imaging features, and underscores the critical role of radiopaque markers in diagnosis. |
| format | Article |
| id | doaj-art-e3998b0a9ea5481d94d8a891d144675a |
| institution | DOAJ |
| issn | 0971-3026 1998-3808 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Radiology and Imaging |
| spelling | doaj-art-e3998b0a9ea5481d94d8a891d144675a2025-08-20T02:46:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-380810.1055/s-0045-1810410Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained SpongeDeepthi Sanagavarapu0https://orcid.org/0009-0009-4885-6792Vihar Reddy Mallapu1https://orcid.org/0000-0002-3835-8599Vadlapally Karuna2D. Ankamma Rao3Mallikarjuna Reddy Mandapati4Department of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, IndiaDepartment of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, IndiaDepartment of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, IndiaDepartment of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, IndiaDepartment of General Surgery, NRI Medical College, Chinakakani, Andhra Pradesh, IndiaGossypiboma, a retained surgical foreign body, is a rare but serious complication with variable clinical and radiological features, posing diagnostic challenges. This case report describes a 55-year-old female with a history of total abdominal hysterectomy and incisional hernioplasty, presenting with a 6-month history of insidious abdominal pain and a palpable right iliac fossa mass. Initial ultrasound suggested a mesenteric dermoid, but her surgical history raised suspicion of gossypiboma. Computed tomography revealed a nonenhancing hypodense lesion with a curvilinear high-density structure (average attenuation of 1200 HU) within causing streak artifacts, characteristic of a radiopaque surgical sponge marker, confirming the diagnosis. Exploratory laparotomy identified an encapsulated surgical mop with dense adhesions, necessitating adhesiolysis, appendectomy, and ileal resection. The postoperative course was uneventful. This case highlights the importance of considering gossypiboma in patients with prior surgery, even without classic imaging features, and underscores the critical role of radiopaque markers in diagnosis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810410gossypibomaretained spongeradiopaque marker |
| spellingShingle | Deepthi Sanagavarapu Vihar Reddy Mallapu Vadlapally Karuna D. Ankamma Rao Mallikarjuna Reddy Mandapati Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge Indian Journal of Radiology and Imaging gossypiboma retained sponge radiopaque marker |
| title | Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge |
| title_full | Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge |
| title_fullStr | Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge |
| title_full_unstemmed | Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge |
| title_short | Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge |
| title_sort | beyond the spongiform pattern of gossypiboma how a radiopaque marker solved the mystery of a retained sponge |
| topic | gossypiboma retained sponge radiopaque marker |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810410 |
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