Open AccessTumefactive intramural gossypiboma of the urinary bladder mimicking an invasive adnexal malignancy
Author(s) -
Shivi Jain,
Ashish Verma,
Madhu Jain,
Sameer Trivedi,
Ram Chandra Shukla,
Arvind Srivastava
Publication year - 2015
Publication title -
indian journal of radiology and imaging - new series/indian journal of radiology and imaging/indian journal of radiology and imaging
Language(s) - English
Resource type - Journals
eISSN - 0971-3026
pISSN - 0970-2016
DOI - 10.4103/0971-3026.155872
Subject(s) - gossypiboma , medicine , cystoscopy , malignancy , exploratory laparotomy , endometriosis , radiology , laparotomy , adnexal mass , magnetic resonance imaging , urinary system , foreign body , surgery , gynecology , pathology , anatomy
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.