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

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      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.


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        • 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