Madani Rami, Richter David M, De Cecco Dakota, Alfred Andrew, Shebrain Saad
Department of Surgical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA.
Cureus. 2025 Aug 16;17(8):e90234. doi: 10.7759/cureus.90234. eCollection 2025 Aug.
Surgicel™ is a bioabsorbable local hemostatic agent frequently used to control bleeding during laparoscopic cholecystectomy. Although rare, residual Surgicel™ can cause a local inflammatory response and subsequent calcification. This may complicate the interpretation of imaging studies, leading to misdiagnosis and unnecessary workup. Sixteen months after subtotal cholecystectomy for gangrenous cholecystitis, a 64-year-old man presented to the emergency department with epigastric pain. A CT of the abdomen demonstrated mild inflammation and a localized hyperdensity within the residual gallbladder, suggestive of biloma and retained gallstones. However, a subsequent hepatobiliary iminodiacetic acid scan showed normal post-cholecystectomy changes, ruling out biloma. Accordingly, the patient's clinical presentation and initial radiologic findings were consistent with calcification of retained Surgicel™. Calcification of Surgicel™ is rare and radiographically mimics gallstones. A thorough evaluation of the patient's complete operative history is critical to avoid misdiagnosis and unnecessary interventions.
速即纱™是一种可生物吸收的局部止血剂，常用于在腹腔镜胆囊切除术中控制出血。尽管残留的速即纱™很少见，但可引起局部炎症反应及随后的钙化。这可能会使影像学检查的解读复杂化，导致误诊和不必要的检查。一名64岁男性在因坏疽性胆囊炎行胆囊次全切除术后16个月，因上腹部疼痛就诊于急诊科。腹部CT显示残余胆囊内有轻度炎症和局限性高密度影，提示胆汁瘤和残留胆结石。然而，随后的肝胆亚氨基二乙酸扫描显示胆囊切除术后改变正常，排除了胆汁瘤。因此，患者的临床表现和最初的影像学表现与残留速即纱™钙化相符。速即纱™钙化罕见，在影像学上与胆结石相似。对患者完整的手术史进行全面评估对于避免误诊和不必要的干预至关重要。
