The ultrasound and CT appearances of an intra-abdominal abscess secondary to a retained surgical swab

Boardman, Philip; Cowan, Nigel C.; Gleeson, Fergus; Bacon, N.C.M

doi:10.1016/s0009-9260(99)90838-3

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…In our case the retained sponge, as it was a simple cotton gauze dressing used to cover the wounds instead of being a proper surgical sponge, did not contain radiopaque liners, so probably was misplaced in a wound dressing during his stay in the Intensive Care Unit, so pre and postoperative radiographs failed to locate it. Plain radiography, ultrasound, and magnetic resonance imaging have been used for diagnosis, but the first diagnostic modality to rule out a retained foreign body should be a CT scan and frequently it is the only examination needed [ 13 , 14 ]. The problem is that radiologists are not fully educated about what these objects can look like, as the prevalence is low.…”

Section: Discussionmentioning

confidence: 99%

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Chana-Rodríguez

Mañanes

Rojo-Manaute

et al. 2015

TOORTHJ

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Retained sponges after a surgical treatment of polytrauma may cause a broad spectrum of clinical symptoms and present a difficult diagnostic problem. We report a case of retained surgical sponge in a 35-year-old man transferred from another hospital, that sustained a open acetabular fracture. The fracture was reduced through a limited ilio-inguinal approach. After 4 days, he presented massive wound dehiscence of the surgical approach. An abdominal CT scan showed, lying adjacent to the outer aspect of the left iliac crest, a mass of 10 cm, identified as probable foreign body. The possibility of this rare complication should be in the differential diagnosis of any postoperative patient who presents with pain, infection, or palpable mass.

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Section: Discussionmentioning

confidence: 99%

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Chana-Rodríguez

Mañanes

Rojo-Manaute

et al. 2015

TOORTHJ

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“…10 Surgical sponges are the most commonly reported retained objects after surgery. 11 Most patients remain asymptomatic, and the sponges are only found by chance; however, a septic abscess may form and cause severe complications. 12 The characteristic sonographic pattern reveals an anterior echogenic area with a strong, clean shadow.…”

Section: Discussionmentioning

confidence: 99%

Detection of a Ballpoint Pen in a Patient's Abdomen by Sonography

Isaacs

2006

Journal of Ultrasound in Medicine

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Ultrasonographic Appearance of Intra‐abdominal Granuloma Secondary to Retained Surgical Sponge

Maï

Ledieu²,

Venturini³

et al. 2001

Vet Radiology Ultrasound

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This report describes two animals (one dog and one cat) with a retained surgical sponge. Both had nonspecific clinical signs. Clinical examination, ultrasonography and cytologic examination were used to identify an abdominal mass compatible with a granuloma. The lesions were surgically removed and confirmed histologically as granulomas secondary to a retained sponge. The ultrasonographic appearance was very similar in both animals.

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The ultrasound and CT appearances of an intra-abdominal abscess secondary to a retained surgical swab

Cited by 3 publications

References 11 publications

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Detection of a Ballpoint Pen in a Patient's Abdomen by Sonography

Ultrasonographic Appearance of Intra‐abdominal Granuloma Secondary to Retained Surgical Sponge

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