Dubai Surgical Residents
Figure it out fridays
#54
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.
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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.
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Imaging revealed the above findings.
Therefore the patient was taken for exploratory surgery.
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What is the most likely diagnosis?
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C. Gossypiboma
E. Hematoma
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