Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 316-320 DOI: 10.16260/j.cnki.1009-2188.2018.04.019 |
| Clinical Research |
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| The Diagnosis and Misdiagnosis of CT for Abdominal Nonmetallic Marked Gossypiboma and Associated Literature Review#br#
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| JIANG Bing, ZHANG Wei, LI Fangli, CHEN Xiao#br#
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1. Department of Radiology, The Second People’s Hospital of Hunan Province, Changsha 410007, Hunan, China; 2. Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology， Wuhan 43000, Hubei, China
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Abstract Abstract:ObjectiveTo investigate the CT features of abdominal nonmetallic marked gossypiboma and analyze the causes of misdiagnosis in order to improve the understanding of the disease.MethodsThe clinical data of 4 cases of abdominal nonmetallic marked gossypiboma confirmed by surgery and pathology were analyzed retrospectively, including data of MSCT scan, enhanced scan and multiplanar reconstruction (MPR) images. The related literatures were reviewed.ResultsThe duration of the nonmetallic marked gauze leaveding in peritoneal cavity ranged from 3 months to 8 years. One case was misdiagnosed as ileal tumor before operation, two cases as gastrointestinal stromal tumor, and one case as sigmoiditis. Among them, small intestine and mass wrapped each other in two cases, small bowel perforation and gauze imbedded in small intestine in one case, and the perforation of small intestine and the sigmoid colon and appendicitis combined with bilateral pyosalpinx in one case.ConclusionsThe gossypiboma is a uncommon iatrogenic foreign body granuloma. CT is one of the important diagnostic methods, it would play an important role to reduce the misdiagnosis rate and improve the preoperative diagnostic rate by analyzing the imaging features carefully.
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Published: 23 October 2018
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