Advertisement

Sonography and computed tomography of a gossypiboma and in vitro studies of sponges by ultrasound case report

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      A case of retained surgical sponge was imaged by ultrasound and computed tomography (CT). Sonography revealed a hypoechoic mass with areas of high echoes and acoustic shadowing. An experiment revealed that the high echoes were attributed partly to the presence of numerous interfaces of sponges. The sonographic detection of a mass with high echoes casting acoustic shadows should alert radiologists to the possibility of retained surgical sponges even if there is no gas or calcification on CT scans.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kokubo T.
        • Itai Y.
        • Ohtomo K.
        • Yoshikawa K.
        • Iio M.
        • Atomi Y.
        Retained surgical sponges: CT and US appearance.
        Radiology. 1987; 165: 415-418
        • Choi B.I.
        • Kim S.H.
        • Yu E.S.
        • Chung H.S.
        • Han M.C.
        • Kim C.W.
        Retained surgical sponge: diagnosis with CT and sonography.
        AJR. 1988; 150: 1047-1050
        • Chau W.K.
        • Lai K.H.
        • Lo K.J.
        Sonographic findings of intraabdominal foreign bodies due to retained gauze.
        Gastrointest Radiol. 1984; 9: 61-63
        • Yamato M.
        • Ido K.
        • Izutsu M.
        • Narimatsu Y.
        • Hiramatsu K.
        CT and ultrasound findings of surgically retained sponges and towels.
        J Comput Assist Tomogr. 1987; 11: 1003-1006
        • Buy J.N.
        • Hubert C.
        • Ghossain M.A.
        • Malbec L.
        • Bethoux J.P.
        • Ecoiffier J.
        Computed tomography of retained abdominal sponges and towels.
        Gastrointest Radiol. 1989; 14: 41-45
        • Apter S.
        • Hertz M.
        • Rubinstein Z.J.
        • Ziaain R.
        Gossypiboma in the early post-operative period: a diagnostic problem.
        Clin Radiol. 1990; 42: 128-129
        • William R.G.
        • Bragg D.G.
        • Nelson J.A.
        Gossypiboma—the problem of the retained surgical sponge.
        Radiology. 1978; 129: 323-326
        • Sturdy J.H.
        • Baird R.M.
        • Gerein A.N.
        Surgical sponges: a cause of granuloma and adhesion formation.
        Ann Surg. 1967; 165: 128-134
        • Olnick H.M.
        • Weens H.S.
        • Robers Jr., J.V.
        Radiological diagnosis of retained surgical sponges.
        JAMA. 1955; 159: 1525-1527
        • Robinson K.B.
        • Levin E.J.
        Erosion of retained surgical sponges into the intestine.
        AJR. 1966; 96: 339-343
        • Mason L.B.
        Migration of surgical sponge into small intestine.
        JAMA. 1968; 205: 938-939
        • Behan M.
        • Kazam E.
        The echographic characteristics of fatty tissues and tumors.
        Radiology. 1978; 129: 143-151
        • Sandier M.A.
        • Silver T.M.
        • Karo J.J.
        Gray-scale ultrasonic features of ovarian teratomas.
        Radiology. 1979; 131: 705-709