case_images: PMC11743428_01
case_images: (A) Initial postoperative radiograph showing misdiagnosed retained drain (limited view). (B) X-ray showing the retained drain fragment two years post-surgery.
case_images: fsurg-11-1519414-g001.jpg
case_images: PMC11743428_01_fsurg-11-1519414-g001.jpg
case_images: F1
case_images: This oversight proved significant, as the retained fragment was overlooked during this clinical early stage of recovery (Figure 1A). To investigate these symptoms further, a series of repeat radiographic imaging studies were performed, which ultimately revealed the unexpected presence of a retained fragment of a surgical drain, as illustrated in Figure 1B.
case_images: Surgical findings of tendinopathy and retained drain fragment entangled in muscle fibers. Appearance compatible with gluteal tendinopathy due to chronic irritation.
case_images: fsurg-11-1519414-g002.jpg
case_images: PMC11743428_01_fsurg-11-1519414-g002.jpg
case_images: F2
case_images: Upon exploration, it was discovered that the retained fragment approximately 5 cm long was intricately entangled within the fibers of the gluteus muscle, presenting a challenge that required precise dissection and careful handling to avoid further damage to the surrounding tissues (Figure 2).