Lu Yi-Ying, Cheung Yun-Chung, Ko Sheung-Fat, Ng Shu-Hang
Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, 5-Fu-Shing Street, Kwei Shan, TaoYuan, Taiwan, China.
World J Gastroenterol. 2005 Aug 21;11(31):4927-9. doi: 10.3748/wjg.v11.i31.4927.
We herein report a gossypiboma resulting from a retained surgical swab, which had been left in peritoneum for 20 years after appendectomy. CT revealed a cystic mass with a calcified reticulate rind. Subsequent surgery and pathological examination showed a gossypiboma. A simple experiment, using a barium-soaked surgical swab demonstrating similar CT appearance, supported our postulation that calcium deposition on the reticulated fibers of a surgical swab could generate such a characteristic "calcified reticulate rind" sign. We believe that identification of this CT sign facilitates the diagnosis of gossypibomas.
我们在此报告一例由残留手术拭子导致的棉籽瘤，该拭子在阑尾切除术后遗留在腹膜内达20年。CT显示一个带有钙化网状外皮的囊性肿块。后续手术及病理检查显示为棉籽瘤。一项简单实验，使用浸泡钡剂的手术拭子呈现出类似的CT表现，支持了我们的推测，即手术拭子网状纤维上的钙沉积可产生这种特征性的“钙化网状外皮”征象。我们认为识别这种CT征象有助于棉籽瘤的诊断。
