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Case of the Week 356




What's the most likely diagnosis?

  • 69 yo with surgery 10 years ago for gunshot wound



Scout from CT Scan

  1. Porcelain gallbladder
  2. Staghorn calculus
  3. Gossypiboma
  4. Gallstone
  5. Staghorn calculus

Additional Image - Non-enhanced CT of Lower Abdomen

 

Additional Image

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Non-enhanced CT of Lower Abdomen

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Answer:

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3. Gossypiboma

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More (Click Discussion Tab)


Gossypiboma
Submitted by Theresa Kaufman, MSIV

General Considerations

  • Gossypiboma: retained surgical sponge
  • From Latin “gossypium” (cotton) and Swahili “boma” (place of concealment)
  • Barium-saturated threads are woven into one side of all surgical sponges in the United States, allowing the sponges to be readily identified radiographically
    • Usually appear as curvilinear densities, but may appear distorted if sponges have been folded
    • Markers may deteriorate over time and may not be detectable

    More ...


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