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Figure it out fridays 

#54

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A 33-year-old Female, with a history of total abdominal hysterectomy along with bilateral salpingooophorectomy done 15 days ago due to menorrhagia, presents to the hospital with a complaint of epigastric pain, loss of appetite, mild abdominal distention, and constipation for the past 7 days. The patient also complains of discharge from the surgical wound site for the past 1 day. 

On examination: vitals were stable, a vertical infra-umbilical scar was present, and there was a vague tender fixed mass with a smooth surface. There was pus discharge from a gap in the upper 1 cm of the surgical scar. The pus was sent for culture and sensitivity. 

Per-vaginal examination, vault seems to be healthy. 

Her laboratory parameters were within normal limits. 

Imaging revealed the above findings. 

Therefore the patient was taken for exploratory surgery. 

What is the most likely diagnosis?

A. Intra-abdominal collection

B. Bowel Obstruction

C. Gossypiboma

D. Neoplastic lesion

E. Hematoma 

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