Journal List > J Korean Soc Radiol > v.65(6) > 1087043

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Jung, Ryu, Kim, Jung, Kim, Park, Kim, Kim, Kim, and Kang: Gossypiboma in the Neck after Total Thyroidectomy: A Case Report
Head and Neck Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 65(6): 543-546.

Published online: 31 December 2011

DOI: https://doi.org/10.3348/jksr.2011.65.6.543

Gossypiboma in the Neck after Total Thyroidectomy: A Case Report

Hyunseok Jung, M.D.1, Ji Hwa Ryu, M.D.2, Dong Wook Kim, M.D.1, Hyun Kyung Jung, M.D.2, Hong dae Kim, M.D.2, Young Mi Park, M.D.1, Su Jin Kim, M.D.3, Woon Won Kim, M.D.3, Jin Soo Kim, M.D.3, Tae Woo Kang, M.D.4

1Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

2Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

3Department of General Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

4Department of General Surgery, Saegyero Hospital, Busan, Korea.

Corresponding author: Ji Hwa Ryu, MD. Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundae-ro, Haeundae-gu, Busan 612-030, Korea. Tel. 82-51-797-0354, Fax. 82-51-797-0379, rjhrad@empal.com

Received 8 June 2011       Accepted 26 August 2011

Copyright © 2011 The Korean Society of Radiology

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.

Keywords: Neck, Surgical Sponge, Ultrasonography, Tomography, X-ray Computed, Magnetic Resonance Imaging

Figures and Tables

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
jksr-65-543-g001
Fig. 2

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

jksr-65-543-g002

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