case_images: PMC11810142_01
case_images: A simple abdominal X-ray in the decubitus position reveals multiple radiopacities located in the right hypochondrium. The white arrows denote the position of the surgical drain, while the black arrow indicates the presence of the gossypiboma within the hepatic shadow. The blue arrow points to another opacity seen in the stomach location that disappeared in subsequent imaging studies.. Original image by the authors.
case_images: cureus-0017-00000077268-i01.jpg
case_images: PMC11810142_01_cureus-0017-00000077268-i01.jpg
case_images: FIG1
case_images: Abdominal CT showing a gossypiboma and post-surgical changes. The abdominal CT reveals the presence of a gossypiboma and changes related to the previous surgical intervention. Hypodense areas are observed in the abdominal wall and within the abdominal cavity (orange arrows), suggestive of air. In hepatic segment V, a hyperdense focal lesion is identified (white arrow), surrounded by heterogeneous zones within the liver parenchyma. These findings suggest an inflammatory reaction and abscess formation (blue arrow).. Original image by the authors.
case_images: cureus-0017-00000077268-i02.jpg
case_images: PMC11810142_01_cureus-0017-00000077268-i02.jpg
case_images: FIG2
case_images: The imaging revealed an occupying lesion in segments V, VI, and VII of the liver, with a multilocular appearance and hyperdense material noted in segment V (Figure 2).
case_images: Intraoperative images. (A) An intraoperative view showing the extraction of a 3-cm intraparenchymal abscessed textile from segment V (white arrow), with the border of the liver (blue arrow). (B) An intraoperative view showing a cavity in segment V (green arrow). Purulent exudate at the base of the cavity is indicated by the black arrow at segment VIII.. Original image by the authors.
case_images: cureus-0017-00000077268-i03.jpg
case_images: PMC11810142_01_cureus-0017-00000077268-i03.jpg
case_images: FIG3
case_images: Upon draining and rupturing the abscess in segment V, an encased gossypiboma of approximately 3 cm was extracted (Figure 3).
case_images: Follow-up abdominal CT scan. (A) Coronal view: hypodense areas are identified in segment V of the liver (white arrow). (B) Axial view: hypodense regions are observed in segments V and VI, consistent with an inflammatory process or residual abscess formation (white arrow).. Original image by the authors.
case_images: cureus-0017-00000077268-i04.jpg
case_images: PMC11810142_01_cureus-0017-00000077268-i04.jpg
case_images: FIG4
case_images: However, a contrast-enhanced abdominal CT scan revealed persistent small liver abscesses in segments V and VI, which extended into the right parietocolic gutter (Figure 4).