J Korean Soc Radiol.  2011 Dec;65(6):543-546. 10.3348/jksr.2011.65.6.543.

Gossypiboma in the Neck after Total Thyroidectomy: A Case Report

• Jung H
• Ryu JH
• Kim DW
• Jung HK
• Kim HD
• Park YM
• Kim SJ
• Kim WW
• Kim JS
• Kang TW

• KMID: 2002919
• DOI: http://doi.org/10.3348/jksr.2011.65.6.543

Abstract

Gossypiboma is generally defined as an inflammatory lesion resulting from a foreign substance like a retained surgical sponge or gauze after surgery. Despite a number of reports of gossypiboma after thoracic and abdominal surgery, the gossypiboma after thyroid surgery has quite rarely been reported. We report a case of gossypiboma in the neck after a total thyroidectomy with ultrasonography, computed tomography, and a magnetic resonance image.

MeSH Terms

Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Neck
Surgical Sponges
Thyroid Gland
Thyroidectomy
Tomography, X-Ray Computed

Figure

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  Fig. 1 43-year-old man with gossypiboma in left thyroid bed, which is found 7 months after total thyroidectomy. A, B. Transverse (A) and longitudinal (B) sonograms show hyperechoic interface at the anterior margin of the mass lesion with marked acoustic shadow (arrow). C. Unenhanced CT scan shows a well-defined slightly-hyperattenuated round mass lesion (arrow). D. Enhanced CT scan shows well-enhanced rim (arrow). E. T2-weighted axial image shows round hyperintense mass lesion with hypointense rim (arrow). F. T1-weighted axial image shows a isointense mass lesion with hypointense rim (arrow). G. Enhanced T1-weighted image shows well-enchanced rim (arrow). H. T2-weighted STIR image shows whirled stripes in central portion of the mass lesion (arrow). Note.-STIR = short tau inversion recovery

• 

  Fig. 2 Retained surgical sponge (arrow) in the left side of the thyroid bed.

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