[Septic focus in the retroperitoneum--iatrogenic foreign body of cotton (gossypiboma)].
Retained surgical towels (gossypiboma) present a diagnsotic problem if they remain asymptomatic for many years. We report on one 51 year old patient with repeated septic temperatures in the early post-operative phase after hemicolectomy. The contrast enhanced CT of the abdomen revealed a well-defined round soft-tissue mass with a dense, enhanced wall containing an internal high-density wavy and striped area. At laparotomy a secondary infected surgical sponge with abscess formation was found.
Romaneehsen
B
B
Abteilung Onkologische Diagnostik und Therapie, Deutsches Krebsforschungszentrum Heidelberg.
Bahner
M L
ML
Delorme
S
S
D000038:Abscess / Q000000981:diagnostic imaging* / Q000601:surgery; D003082:Colectomy; D004239:Diverticulitis, Colonic / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation; D012187:Retroperitoneal Space; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed