A Bizarre Abdominal Cystic Lesion

  • Giorgia Zucchini Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Raffaele Pezzilli Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Claudio Ricci Department of Surgery, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Riccardo Casadei Department of Surgery, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Donatella Santini Department of Pathology, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Lucia Calculli Department of Radiology, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
  • Roberto Corinaldesi Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy
DOI: https://doi.org/10.6092/1590-8577/3441
Keywords: Abdominal Abscess, Abdominal Pain, Surgical Sponges, Tomography, Spiral Computed

Abstract

In spite of careful intraoperative precautions and gauze counts, mistakes can still occur during surgery. In the case reported, a retained gauze leaved during a surgical approach for removing a solid-cystic papillary tumor localized in the pancreatic tail, caused both persistent abdominal discomfort and the presence of an abdominal cystic lesion at imaging techniques. When a previous operative history is present, a foreign body should be taken into account in the differential diagnosis of a patient with an intra-abdominal cystic mass. Finally, radio-opaque marker should be routinely used by surgeons in order to reach a correct diagnosis in operated patients having retained gauze.

Image: The cyst was then opened ...

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References

Casadei R, Santini D, Calculli L, Pezzilli R, Zanini N, Minni F. Pancreatic solid-cystic papillary tumor: clinical features, imaging findings and operative management. JOP. J Pancreas (Online) 2006; 7(1 Suppl.):137-44. [PMID 16407636]

Alotti N, Kecskes G, Simon J, Tomcsanyi J, Papp L. Gauze swabs left intrapericardially following cardiac surgery. J Cardiovasc Surg 1999; 40:825-7. [PMID 10776712]

Fujita K, Ichikawa T. Encapsulated paravesical foreign body. J Urol 1990; 143:1004-5. [PMID 2184250]

The cyst was then opened ...
Published
2010-09-06
How to Cite
ZucchiniG., PezzilliR., RicciC., CasadeiR., SantiniD., CalculliL., & CorinaldesiR. (2010). A Bizarre Abdominal Cystic Lesion. JOP. Journal of the Pancreas, 11(5), 480-481. https://doi.org/10.6092/1590-8577/3441
Issue
Vol 11 No 5 (2010): September - p. 423-497
Section
MULTIMEDIA ARTICLE - Clinical Imaging

Copyright (c) 2010 Giorgia Zucchini, Raffaele Pezzilli, Claudio Ricci, Riccardo Casadei, Donatella Santini, Lucia Calculli, Roberto Corinaldesi

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