Deciphering the Ultrasound, CT, and MRI Imaging Features of a Post-Vaginal Hysterectomy Gossypiboma Hiding as a Pelvic Mass-A Case Report.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2024-11-27 DOI:10.1002/jcu.23898

Isha Gupta, Pankaj Nitharwal, Ayush Gupta, Ankita Gupta, Mukesh Mittal

引用次数: 0

Abstract

Gossypiboma, or retained surgical sponge, is a rare post-surgical complication with very few reported cases due to medico-legal purposes. Diagnosis is very challenging due to the myriad of clinical presentations and imaging features. We present the case of a gossypiboma detected in a 72-year-old female with a recent history of vaginal hysterectomy. We describe the imaging findings in detail with the step-wise use of X-rays and ultrasound in raising suspicion and computed tomography (CT) and magnetic resonance imaging (MRI) to rule out other differentials and finally come to the diagnosis of gossypiboma, which was confirmed surgically.

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解读阴道子宫切除术后隐藏为盆腔肿块的 Gossypiboma 的超声、CT 和 MRI 影像特征--病例报告。

Gossypiboma 或残留的手术海绵是一种罕见的术后并发症，由于医疗法律原因，报告的病例很少。由于临床表现和影像学特征多种多样，诊断非常具有挑战性。本病例是一名 72 岁的女性，近期曾做过阴道子宫切除术。我们详细描述了影像学检查结果，通过逐步使用 X 光和超声波来引起怀疑，并通过计算机断层扫描（CT）和磁共振成像（MRI）来排除其他鉴别因素，最终确诊为子宫肌腺症，并经手术确诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.