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Physical examination revealed diffuse discomfort in the epigastric/umbilical region and laboratory tests showed elevated C-reactive protein (87 mg/l; NV: 0.1–5), procalcitonin (31.58 ng/dl; NV: 0.02−0.5) and ferritin (413 ng/mL; NV: 5–205), and normochromic normocytic anaemia. Upper gastrointestinal endoscopy was normal. A PET/CT scan was performed, detecting increased metabolism with ovoid morphology in the right side of the abdomen, together with intestinal obstruction secondary to compression. In the maximum intensity projection (MIP) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), increased FDG uptake of a structure with ovoid morphology was observed in the right side of the abdomen from the hepatic hilum to the pelvis; whereas the coronal fusion images (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) showed that this lesion was not dependent on any gastrointestinal structure, showing a high metabolic rate in its walls (SUVmax: 8.88; SUVpeak: 4.32). A midline exploratory laparotomy was performed which confirmed retroperitoneal abscess secondary to gossypiboma.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The term gossypiboma or textiloma refers to any item left in the surgical site and its secondary reactions. Its clinical presentation in the abdomen is variable and, although rare, it should be considered in the differential diagnosis of cases with abdominal or gastrointestinal symptoms.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0015" class="elsevierStylePara elsevierViewall">Informed consent was obtained for imaging and subsequent publication.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">No funding has been received for this work.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1100 "Ancho" => 1683 "Tamanyo" => 165287 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016200000005/v1_202403010948/S2387020624000512/v1_202403010948/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016200000005/v1_202403010948/S2387020624000512/v1_202403010948/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624000512?idApp=UINPBA00004N" ]
Journal Information
Vol. 162. Issue 5.
Pages 258 (March 2024)
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Vol. 162. Issue 5.
Pages 258 (March 2024)
Image in medicine
Abdominal gossypiboma as a cause of constitutional syndrome
Gossypiboma abdominal como causa de síndrome constitucional
Antonio Rosales-Castillo
, Antonio Bustos-Merlo, María Lucía Tornero-Divieso
Corresponding author
Servicio de Medicina Interna, Hospital Universitario Virgen de las Nieves, Granada, Spain
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