Sonographic appearances of retained surgical sponges in the abdomen and pelvis

Li, Qiu Yang; Wang, Long Xia; Xu, Hong

doi:10.1002/jcu.22804

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…The heterogeneous structure and lack of vascular flows inside the foreign body mass are also characteristic of the US image [ 8 ]. Some authors indicate a characteristic zigzag shape inside the described structure, which may correspond to the folds of the material [ 14 , 15 ]. Computed tomography is the best tool to diagnose left foreign bodies and possible complications [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review

Modrzejewski¹,

Kaźmierczak²,

Kowalik³

et al. 2023

Pol J Radiol

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Despite improvements in the safety of surgical procedures, leaving a foreign object in a patient’s body is still one of the complications of surgical procedures. The literature lacks an analysis of the effectiveness of specific diagnostic tests in detecting foreign objects. The authors present a discussion of the effectiveness of selected techniques and examples of the appearance of foreign bodies in radiological images based on the description of 10 cases. Leaving surgical haemostatic material in the abdominal or pelvic cavity is an underestimated phenomenon that poses a serious diagnostic problem. Computed tomography is the most sensitive method for detecting a foreign body, while a chest or abdominal X-ray is the simplest and most effective way to identify the surgical material. Ultrasound, although widely available, has not shown utility in diagnosing foreign bodies in our cases. Awareness of this problem is necessary to avoid unnecessary mortality in surgical patients.

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Section: Discussionmentioning

confidence: 99%

Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review

Modrzejewski¹,

Kaźmierczak²,

Kowalik³

et al. 2023

Pol J Radiol

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“…Plain radiography is the most common technique that is easy to diagnose gossypiboma containing a radiopaque marker [ 8 ]. Ultrasound (US) may provide sufficient diagnostic evidence in the proper clinical context [ 10 ]. However, if the time interval between surgery and symptom onset is prolonged, CT and MRI may have superior advantages to US in differentiating from recurrent tumor, hematoma, or abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, radiological imaging is important for accurate diagnosis. Ultrasonography (US) is a cheap and easy imaging modality for gossypiboma diagnosis; however, it may not be sufficient to evaluate the abdominal or pelvic organs in the cases of suspected gossypibomas in women after cesarean section [ 10 ]. Thus, recognizing the CT and MRI features of gossypibomas after a varied durations of foreign body retention is very important in this population.…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography and Magnetic Resonance Imaging Appearances of Abdomen and Pelvis Gossypibomas at the Varied Durations After Cesarean Section

Bai¹,

Juanqin²,

Zhang³

et al. 2021

Cureus

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The incidence of gossypiboma is considerably higher in open cavity surgeries, among which cesarean section ranks number one. However, it is difficult to diagnose abdomen or pelvic gossypibomas after cesarean section. We retrospectively analyzed the clinical and imaging data of three pathologically confirmed gossypiboma patients at varied durations after cesarean section. In case one, at four months after cesarean section, a gossypiboma near the small intestine caused fistula and intestinal obstruction. Soft tissue density lesion along the intestinal canal made the "segmental honeycomb sign" and "truncation" with metal markings on the edge on computed tomography (CT). Magnetic sensitivity artifacts were demonstrated as hypointensity on T1 weighted image (T1WI) and T2 weighted image (T2WI), while hyperintensity was seen on the diffusion weighted image (DWI). In case two, a gossypiboma in the peritoneal and intestinal space was revealed with MRI at 18 months after cesarean section. It was featured as a cystic and solid lesion, with "vortex like sign" and obvious ring enhancement on contrast-enhanced MRI scan. In case three, five years after cesarean section, a mass was palpated in the right middle and lower abdomen. MRI revealed a round mass of T1 hypointensity with mixed T2 signal, as well as swirling hypointensity in T2WI, T2WI-fat suppression (FS), and DWI. In CT and MRI examinations for suspected gossypiboma after cesarean section, "honeycomb sign" and "vortex like sign" are the characteristic appearances; gauze translocated into the intestine may show the "truncation sign". Accurate diagnosis is based on the surgery history, symptoms, and imaging features.

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“…Ecografía: Los hallazgos ecográficos de un textiloma raramente son reportados. En el trabajo de Qiu Yang Li et al 16 , se describen 3 patrones distintos; el patrón tipo 1 consiste en un área ecogénica con un arco ecogénico marcado hacia anterior, sombra acústica hacia posterior y una cápsula hipoecogénica (Figura 3); el tipo 2 se visualiza como una masa sólido quística de márgenes bien delimitados, contenido sólido no homogéneo y con sombra acústica a posterior, similar a un teratoma quístico, y el tipo 3 como una masa quística de pared gruesa, contenido ecogénico ondulado y sombra acústica. En dicho trabajo los hallazgos más frecuentes fueron los compatibles tipo 1, en 5 de 9 pacientes.…”

Section: Estudio Imagenológicounclassified

Textiloma abdominal: Actualización y aporte al diagnóstico desde las imágenes.

Schoijet¹,

Muñoz²,

Manaut³

et al. 2022

Rev. Cirugia

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Textiloma es un término utilizado para describir una masa formada por textiles quirúrgicos olvidados al interior de un paciente y la reacción a un cuerpo extraño que los rodea. Su incidencia ha disminuido considerablemente, sin embargo, su alto impacto legal y social ha motivado su revisión. Se realizó una búsqueda de artículos relacionados con textilomas vía Pubmed y SCielo incluyendo un total de 25 referencias. La presentación clínica es variada e inespecífica; la ubicación, tiempo de evolución y tipo de respuesta inflamatoria inciden en un amplio espectro de escenarios clínicos, desde un hallazgo incidental en imágenes hasta un cuadro grave secundario a complicaciones (abscesos, obstrucción intestinal, sepsis, entre otros). En este contexto se hace fundamental el apoyo imagenológico. La radiografía simple suele ser el acercamiento inicial por su fácil acceso e interpretación, pero el marcador radiopaco puede desintegrarse o distorsionarse con el tiempo. La tomografía computada permite una mayor sensibilidad para el diagnóstico, pero puede ser fácilmente malinterpretada como una neoplasia, absceso o hematoma si no se conocen las características distintivas. La presencia de una masa de contenido espongiforme hipodenso con burbujas en su interior y una pared que realza con contraste o la de una masa reticular rodeada de una corteza calcificada deben orientar a su diagnóstico. Los textilomas son en definitiva problemas complejos, no sólo desde el ámbito legal y social sino también desde un punto de vista médico, siendo el estudio de imágenes y el antecedente de un procedimiento quirúrgico las claves para un diagnóstico oportuno.

show abstract

Sonographic appearances of retained surgical sponges in the abdomen and pelvis

Cited by 4 publications

References 8 publications

Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review

Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review

Computed Tomography and Magnetic Resonance Imaging Appearances of Abdomen and Pelvis Gossypibomas at the Varied Durations After Cesarean Section

Textiloma abdominal: Actualización y aporte al diagnóstico desde las imágenes.

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