Keloid formation refers to a dense accumulation of fibrous tissue which extends above the surface of the skin as well as circularly beyond areas which were originally traumatized or incised and sutured. Radio-graphically, the superimposition of the soft tissue density of a keloid over the chest or the abdomen may simulate an intrathoracic or intra-abdominal mass. Inspection of the patient as well as additional radiographs obtained at 90° angles can demonstrate the true nature of the mass.
Calcification or ossification (hardness) of old surgical scars can produce linear densities on late postoperative radiographs.
Retained surgery cotton sponges
The early radiographic demonstration of retained sponges postoperatively is esential to avoid further complications.Because cotton sponges are inert, they do not lake part in any specific decomposition or biochemical reaction.However, they may stimulate an inflammatory reaction with associated pain and subsequent fibrosis or may incite the formation of a foreign body granuloma.
Delayed healing with a chronically draining sinus or actual erosion into the adjacent viscera may also be observed.
The most used types of surgical sponges have standardized, readily recognized radiopaque markers. So, because these markers may vary greatly in both size and form, they may resemble suture material of artificacts.
Other health articles; mesenteric artery occlusion, keloid forms , bleeding disorders, diseases of the hearth , breast cancer
