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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(01): 172-177
DOI: 10.1055/s-0044-1781458
Case Series

Absorbable Hemostatic Agents Mimic Gossypiboma or Infected Collection on Imaging

Kirti Anna Koikkara 
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Joseph Chacko Paul
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vineeth Joseph Abraham
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Aisha Lakhani 
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Harsha Veena Kanamathareddy
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Gopinathan Kathirvelu
2   Department of Radiology, Government Kilpauk Medical College, Chennai, Tamil Nadu, India
,
Anuradha Chandramohan 
1   Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
› Author Affiliations Funding None.
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Abstract

Absorbable hemostatic agents are commonly used in clinical practice and their imaging appearance is less known. In our case series, we demonstrate how absorbable hemostatic agents can masquerade as other clinically and medicolegally significant conditions such as gossypiboma and infected collections. Through our report, we aimed to describe the imaging features of absorbable hemostatic agents, to compare them with their imaging mimics, and provide a comprehensive review of the available literature.

Keywords

hemostatic agents - Surgicel - Gelfoam - gossypiboma - postoperative collection

Supplementary Material



Publication History

Article published online:
21 April 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Wang H, Chen P. Surgicel® (oxidized regenerated cellulose) granuloma mimicking local recurrent gastrointestinal stromal tumor: a case report. Oncol Lett 2013; 5 (05) 1497-1500
    CrossrefPubMedSearch in Google Scholar
  • 2 Morani AC, Platt JF, Thomas AJ. et al. Hemostatic agents and tissue sealants: potential mimics of abdominal abnormalities. Am J Roentgenol 2018; 211 (04) 760-766
    CrossrefPubMedSearch in Google Scholar
  • 3 Kumar GVS, Ramani S, Mahajan A, Jain N, Sequeira R, Thakur M. Imaging of retained surgical items: a pictorial review including new innovations. Indian J Radiol Imaging 2017; 27 (03) 354-361
    PubMedSearch in Google Scholar
  • 4 Manzella A, Filho PB, Albuquerque E, Farias F, Kaercher J. Imaging of gossypibomas: pictorial review. Am J Roentgenol 2009; 193 (06) S94-S101
    CrossrefPubMedSearch in Google Scholar
  • 5 Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and evaluation. J Comput Assist Tomogr 1996; 20 (06) 919-923
    CrossrefPubMedSearch in Google Scholar
  • 6 Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol 2009; 22 (02) 207-214
    CrossrefPubMedSearch in Google Scholar
  • 7 Umunna J. Gossypiboma and its implications. J West Afr Coll Surg 2012; 2 (04) 95-105
    PubMedSearch in Google Scholar
  • 8 Rabie ME, Hosni MH, Al Safty A, Al Jarallah M, Ghaleb FH. Gossypiboma revisited: a never ending issue. Int J Surg Case Rep 2016; 19: 87-91
    CrossrefPubMedSearch in Google Scholar
  • 9 Lata I, Kapoor D, Sahu S. Gossypiboma, a rare cause of acute abdomen: a case report and review of literature. Int J Crit Illn Inj Sci 2011; 1 (02) 157-160
    CrossrefPubMedSearch in Google Scholar
  • 10 Sandrasegaran K, Lall C, Rajesh A, Maglinte DT. Distinguishing gelatin bioabsorbable sponge and postoperative abdominal abscess on CT. Am J Roentgenol 2005; 184 (02) 475-480
    CrossrefPubMedSearch in Google Scholar
  • 11 Pfizer. Gelfoam® absorbable gelatin powder. Accessed December 18, 2023 at: https://cdn.pfizer.com/pfizercom/products/uspi_gelfoam_plus.pdf
  • 12 Robert B, Yzet T, Regimbeau JM. Radiologic drainage of post-operative collections and abscesses. J Visc Surg 2013; 150 (03) S11-S18
    CrossrefPubMedSearch in Google Scholar
  • 13 Young S, Paulson EK, Mccann RL, Baker ME, Paulson EK. Appearance of oxidized cellulose (Surgicel) on postoperative CT scans: similarity to postoperative abscess. Am J Roentgenol 1993; 160 (02) 275-277
    CrossrefPubMedSearch in Google Scholar
  • 14 Melamed JW, Paulson EK, Kliewer MA. Sonographic appearance of oxidized cellulose (Surgicel): pitfall in the diagnosis of postoperative abscess. J Ultrasound Med 1995; 14 (01) 27-30
    CrossrefPubMedSearch in Google Scholar
  • 15 Arnold AC, Sodickson A. Postoperative Surgicel mimicking abscesses following cholecystectomy and liver biopsy. Emerg Radiol 2008; 15 (03) 183-185
    CrossrefPubMedSearch in Google Scholar
  • 16 Tefik T, Sanli O, Oktar T, Yucel OB, Ozluk Y, Kilicaslan I. Oxidized regenerated cellulose granuloma mimicking recurrent mass lesion after laparoscopic nephron sparing surgery. Int J Surg Case Rep 2012; 3 (06) 227-230
    CrossrefPubMedSearch in Google Scholar