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CT Appearance of a Retained "Fish" in the Abdomen

¹ Department of Diagnostic Imaging, Assaf Harofeh Medical Center, Zrifin 70300, Israel.
² Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
³ Department of Surgery, Assaf Harofeh Medical Center, Zrifin 70300, Israel.

View larger version (69K): [in a new window]   Fig. 1A. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. CT scans obtained at level of mid abdomen (A) and at level of iliac fossa (B) show dense flat structure abutting fascia along anterior abdominal wall (arrows). Intrauterine contraceptive device is present in center of uterus.

View larger version (76K): [in a new window]   Fig. 1B. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. CT scans obtained at level of mid abdomen (A) and at level of iliac fossa (B) show dense flat structure abutting fascia along anterior abdominal wall (arrows). Intrauterine contraceptive device is present in center of uterus.

View larger version (76K): [in a new window]   Fig. 1C. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. Volume rendering image shows elliptic shape of retained foreign body (arrows) that is typical of "fish" (SurgiFish Viscera Retainer, Greer Medical).

View larger version (69K): [in a new window]   Fig. 1D. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. CT image obtained using bone window settings shows foreign structure is much denser than contrast material within bowel loops (arrows).

View larger version (46K): [in a new window]   Fig. 1E. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. Photograph shows fish-shaped viscera retainer (SurgiFish Viscera Retainer, Greer Medical).

View larger version (112K): [in a new window]   Fig. 1F. —30-year-old woman 4 months after resection of recurrent gastric carcinoma in combined abdominothoracic approach. Elective CT was performed as baseline for oncologic follow-up. Patient was asymptomatic. Scanogram of repeated study obtained without oral contrast material vaguely shows superior and inferior borders of the fish (SurgiFish Viscera Retainer, Greer Medical) (arrows) in right and middle lower abdomen and pelvis. Intrauterine contraceptive device is present in pelvis.

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