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Imaging of Transmural Migration of a Retained Surgical Sponge: A Case Report

手術紗布透壁性移動之影像表現-病例報告

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摘要


一位六十一歲女性病患,十五年前接受子宮切除術,最近三個月感到間接性腹痛及一可觸摸的下腹部腫塊。腹部X光片發現於骨盆部位有一個爬行狀且不透射線之物體,超音波顯示一曲線狀之強回音,後方伴隨音響音影;小腸攝影術表示於迴腸內有一巨大無定形的填充缺陷,電腦斷層掃描術揭露此物體為一海綿狀的實物,混合空氣且周圍有著鈣化的類似旋轉物體。

並列摘要


A 61-year-old woman who had undergone a hysterectomy 15 years before this presentation had suffered from intermittent abdominal pain and a palpable lower abdominal mass for 3 months. Plain roentgenography revealed a radiopaque mass with serpiginous density in the pelvic region. Sonography showed curvilinear hyperechogenicity with an acoustic shadow. A small-bowel series revealed a huge amorphous filling defect inside the ileum. Computed tomography showed that the mass was a spongiform object with a whirl-like appearance mixed with air and with peripheral calcification.

並列關鍵字

transmural migration surgical gauze

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