Gossypiboma in Abdomen and Pelvis: MRI Findings in Four Patients
Chan Kyo Kim1,
Byung Kwan Park1 and
Hongil Ha2
1 Department of Radiology and Center for Imaging Science, Samsung Medical
Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-gu,
Seoul, Korea 135-710.
2 Department of Pathology, Samsung Medical Center, Sungkyunkwan University
School of Medicine, Seoul, Korea.
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Fig. 1A —52-year-old woman with gossypiboma in right adnexa mimicking
ovarian fibroma or degenerated uterine myoma. Axial turbo spin-echo (TSE)
T1-weighted image (TR/TE, 436/10) shows well-defined mass with heterogeneously
high signal in central cavity and low signal in peripheral wall
(arrow). Note small endometriosis in left ovary
(arrowheads).
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Fig. 1B —52-year-old woman with gossypiboma in right adnexa mimicking
ovarian fibroma or degenerated uterine myoma. Axial TSE T2-weighted image
(5,200/100) shows characteristically whorled stripes in fluid-filled central
cavity (star). Peripheral wall shows low signal.
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Fig. 1C —52-year-old woman with gossypiboma in right adnexa mimicking
ovarian fibroma or degenerated uterine myoma. Axial contrast-enhanced TSE
T1-weighted image (436/10) shows moderate enhancement of peripheral wall with
serrated contour in inner border (arrowheads). Central cavity is not
enhanced.
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Fig. 2A —62-year-old woman with large gossypiboma in left lower
quadrant mimicking retroperitoneal soft-tissue tumor. Axial fast spin-echo
(FSE) T1-weighted image (TR/TE, 612/10) shows well-defined mass with
heterogeneously high signal in central cavity and low signal in peripheral
wall.
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Fig. 2B —62-year-old woman with large gossypiboma in left lower
quadrant mimicking retroperitoneal soft-tissue tumor. Axial FSE T2-weighted
image (2,400/90) shows characteristically whorled stripes in fluid-filled
central cavity (star). Peripheral wall shows low signal.
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Fig. 2C —62-year-old woman with large gossypiboma in left lower
quadrant mimicking retroperitoneal soft-tissue tumor. Axial contrast-enhanced
FSE T1-weighted image (610/10) shows moderate enhancement of peripheral wall
with serrated contour in inner border (arrowheads). Central cavity is
not enhanced.
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Fig. 3A —30-year-old woman with gossypiboma in left nephrectomy site.
Axial fast spin-echo T1-weighted (TR/TE, 486/11) (A) and T2-weighted
(2,500/89)(B) images show well-defined mass with heterogeneously high
signal intensity (arrows).
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Fig. 3B —30-year-old woman with gossypiboma in left nephrectomy site.
Axial fast spin-echo T1-weighted (TR/TE, 486/11) (A) and T2-weighted
(2,500/89)(B) images show well-defined mass with heterogeneously high
signal intensity (arrows).
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Copyright © 2007 by the American Roentgen Ray Society.
