Tumefactive intramural gossypiboma of the urinary bladder mimicking an invasive adnexal malignancy

Shivi Jain, Ashish Verma, Madhu Jain, Sameer Trivedi, Ram Chandra Shukla, Ram C Shukla, Arvind Srivastava
The Indian journal of radiology & imaging · 2015 · vol. 25(02) , pp. 193–195 · doi:10.4103/0971-3026.155872 · PMID:25969644 · PMC4419430 · W2072951066
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Abstract

A surgical swab retained in the body after surgery is known as 'Gossypiboma'. The purpose of this report is to highlight an intramural vesical gossypiboma mimicking an invasive adnexal malignancy. A 28-year-old multiparous, with open-tubal ligation three years ago, presented with painless hematuria and a nontender mass on vaginal examination. USG suggested 'pelvic endometriosis' infiltrating into the bladder and cystoscopy showed no intraluminal extension of the mass. Contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) misdiagnosed it as invasive malignancy of the fallopian tube. Exploratory laparotomy found it to be an intramural vesical gossypiboma. A pelvic gossypiboma infiltrating into the wall of the urinary bladder may easily be misinterpreted as an invasive pelvic malignancy on imaging and may make one consider unwarranted radical surgery.

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endometriosis

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