Alves Júnior Lafaiete, Vicente Walter Villela Andrade, Ferreira César Augusto, Manso Paulo Henrique, Arantes Lidiane Ramos, Pinheiro Karina Simonelly, Luciano Paula Menezes, Rodrigues Alfredo José, Evora Paulo Roberto Barbosa
Division of Thoracic & Cardiovascular Surgery, Department of Surgery & Anatomy, Riberão Preto Faculty of Medicine, University of São Paolo, 14040-900 São Paolo, Brazil.
Tex Heart Inst J. 2010;37(1):116-8.
Internal accumulation of the topical hemostatic agent Surgicel can mimic fluid collections that might be misdiagnosed as an abscess or a hematoma upon 3 common postoperative imaging methods. Herein, we report the unusual case of a neonate who underwent surgical repair of complex congenital heart conditions and then required early re-exploration, prompted by initial suspicion of mediastinitis on the basis of computed tomographic findings. During reoperation, it was determined that the mass on computed tomography was an accumulation of oxidized Surgicel. We discuss the capabilities and limitations of various imaging methods in the achievement of an accurate differential diagnosis.
局部止血剂速即纱（Surgicel）的内部积聚可能会模拟液体聚集，在三种常见的术后成像方法下，这些液体聚集可能被误诊为脓肿或血肿。在此，我们报告了一例新生儿的罕见病例，该新生儿接受了复杂先天性心脏病的手术修复，随后因基于计算机断层扫描结果初步怀疑纵隔炎而需要早期再次探查。在再次手术过程中，确定计算机断层扫描上的肿块是氧化速即纱的积聚。我们讨论了各种成像方法在实现准确鉴别诊断方面的能力和局限性。
