What type of imaging work-up will help to confirm the diagnosis of gossypiboma in the limb? Review of literature

Abstract

IV - systematic analysis of published retrospective studies.

Sonographic appearance of a soft‐tissue gossypiboma in the forearm with pathologic correlation

“…According to Shyung et al, the US appearances can be classified into two different groups: a cystic type with a zig‐zag echogenic stripe and a solid type with a complex and heterogeneous mass showing mixed hyper‐ and hypoechoic areas . An acoustic shadow may be present in 64% of cases, although radiographic correlation is needed to rule out mineralization within the sponge fibers causing the acoustic shadow; vascularity is usually absent on color Doppler evaluation.…”

A Case Series of Intraluminal Migration Gossypiboma in Regional Hospital of Maradi

“…The use of abdominal fields made by hand and not radio-opaque makes diagnosis by standard radiography even more difficult. The ultrasound, the routine examination most frequently encountered and requested in our two patients, can find three aspects: an echogenic formation with posterior shadow cone, the posterior shadow cone being secondary to the stopping of the ultrasonic beam by the textile fragment; a well-defined cystic formation containing hyperechoic, snake-like and scratched internal structures, the latter corresponding to the forgotten textile; non-specific aspects, hypoechogenic or simple cystic formation [Hammoud, 2001;Mercier, 2016]. The second aspect is most frequently reported in the literature and is the one described in our observation.…”

Imaging Features of Soft Tissue Tumor Mimickers: A Pictorial Essay

“…On MRI, the retained material is most commonly seen as a soft tissue density mass with a well-defined capsule, and is generally hypointense on T1W images, and hyperintense on T2W images. 19 Inflammatory/Reactive Foreign Body Granuloma…”

“…1 On MRI, epidermoid cysts have a well-circumscribed border, low signal on T1W images, high signal on T2W images, and should have no internal enhancement (►Fig. 19). 41…”