CTICasesRetained Surgical Sponge (Gossypiboma)
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Imaging findings
Chest radiograph shows a new left-sided pectoral cardiac resynchronization therapy (CRT) device with a nearby soft-tissue density. Within this region, a folded, radiopaque marker line characteristic of a surgical sponge (Ray-Tec) is visible, associated with local photon attenuation and a soft-tissue fluid collection indicating a hematoma or infection.
Key takeaways
Retained surgical items (gossypibomas or textilomas) should be considered in any post-procedural patient presenting with localized discharge, pain, or fluid collections near a surgical site. The presence of a folding, linear radiopaque marker is diagnostic, and surgical removal is required to resolve associated infection or foreign-body reaction.
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