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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(03): 352-355
DOI: 10.4103/0971-3026.190418
Abdominal Imaging

Bolster material granuloma masquerading as recurrent renal cell carcinoma following partial nephrectomy

Abhishek Singh
Department of Urology and Radiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
,
Shrikant Jai
Department of Urology and Radiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
,
Sanika Ganpule
Department of Urology and Radiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
,
Arvind Ganpule
Department of Urology and Radiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
› Institutsangaben Financial support and sponsorship Nil.
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Abstract

Nephron sparing surgery has seen a phenomenal rise in its application over the past few decades. The use of Surgicel and gel foam for closure of defect created after partial nephrectomy has become a routine practice at many centers. In this case report, we describe radiological artifact secondary to a surgical bolster mimicking a residual disease or an early recurrence in the kidney. This case highlights two facts; first, reapproximation of the renal tissue is best done without the use of Surgicel bolsters. Second, bolsteroma should always be kept in mind as a differential diagnosis in a case where computed tomography (CT) imaging is showing early recurrence. If the surgeon is sure about the surgical margins being negative and the CT image shows a bolsteroma, the patient should be observed and a repeat scan should be done at 3–6 months, which would show regression or disappearance of the lesion proving it to be an artifact rather than malignant lesion.

Keywords

Bolsteroma - partial nephrectomy - Surgicel


Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2021

© 2016. 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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