Gossypiboma/ retained surgical sponge/ gauze post LSCS, ultrasound imaging, management скачать в хорошем качестве

Gossypiboma/ retained surgical sponge/ gauze post LSCS, ultrasound imaging, management

Gossypiboma, or a retained surgical sponge, can occur post-LSCS and is characterized by a complex mass on ultrasound. This mass often appears echogenic with posterior acoustic shadowing due to the sponge's radiopaque marker. Internal linear echoes, reflecting the sponge's fibers, and a surrounding hypoechoic rim, indicating a fibrotic or inflammatory response, are common. Fluid-filled gossypibomas may show posterior acoustic enhancement, and a "twinkle artifact" on color Doppler can aid diagnosis. The prognosis depends on prompt detection and removal, as untreated gossypibomas can lead to complications like infection or fistula formation. Surgical extraction, either laparoscopic or open, is the primary treatment, supplemented by antibiotics if necessary. Ensuring accurate sponge counts and using radiopaque markers during surgery are key preventive measures.