대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 57 Date 1998-11-30

  • Courtesy of Young Hoon Ryu, M.D., Sang Jin Kim, M.D. / Youngdong Severence Hospital
  • Age/Sex 62 / M
  • Chief Complaintright lateral chest discomfort for several weeks. PHx: Open lung biopsy was performed for the diagnosis of sarcoidosis 9 months ago.
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Gossypiboma (Textiloma), Retained surgical sponge, Gauze granuloma
Radiologic Findings
Brief Review
Characteristic CT findings
1. soft tissue mass with air-bubble or spoke- or whirl-like pattern of dense strand
2. well-defined round mass with thick-wall
3. mottled calcification.
References
1. Kopka L, Fischer U, Gross AJ, et al. CT of retained surgical sponges (textilomas): Pitfalls in detection and evaluation. JCAT 1996:20:919-23
2. Sheward SE, Williams AG, Mettler FA, Lacey SR. CT appearance of a surgically retained towel (gossypiboma). JCAT 1986:10;343-5
3. Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CW. Retained surgical sponge: Diagnosis with CT and sonography. AJR 1988:150:1047-50
Keywords
Pleura, Postoperative complication, Gossypiboma (Textiloma), Retained surgical sponge, Gauze granuloma

No. of Applicants : 8

▶ Correct Answer : 3/8,  37.5%
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▶ Semi-Correct Answer : 4/8,  50.0%
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