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. 2009 Jul 13;20(11):567–571. doi: 10.1016/S1607-551X(09)70260-8

Imaging of Transmural Migration of A Retained Surgical Sponge: A Case Report

Kwok‐Wan Yeung 1,, Ming‐Sung Chang 1,2, Jee‐Fu Huang 1,3
PMCID: PMC11917685  PMID: 15620122

Abstract

A 61‐year‐old woman who had undergone a hysterectomy 15 years before this presentation had suffered from intermittent abdominal pain and a palpable lower abdominal mass for 3 months. Plain roentgenography revealed a radiopaque mass with serpiginous density in the pelvic region. Sonography showed curvilinear hyperechogenicity with an acoustic shadow. A small‐bowel series revealed a huge amorphous filling defect inside the ileum. Computed tomography showed that the mass was a spongiform object with a whirl‐like appearance mixed with air and with peripheral calcification.

Keywords: transmural migration, surgical gauze

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