Abstract
Following recent intra-or retroperitoneal surgery, four children in whom hemostasis was obtained by means of abundant use of surgical gelatine sponge, displayed unusual bubbly air collections in the region of the operation. Three of them had vague inflammatory symptoms and signs, while in the fourth the gas was discovered incidentally. The connection between the radiological finding and the hemostatic agent is presented. In the typical case manifesting a mild clinical course, knowledge of this association helps to guard against the diagnosis of abscess, and subsequent unnecessary reoperation can be avoided.
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Older RA, Rice RP, Kelvin FM, Thompson WM, Weinerth JL (1978) Extraperitoneal gas following nephrectomy: Patterns and duration. J Urol 120: 24
Rice RP, Masers SJ (1973) Intraabdominal abscess. Semin Roentgenol 8: 365
Bryant LR, Wiot JF, Klockner RJ (1963) A study of the factors affecting the incidence and duration of postoperative pneumoperitoneum. Surg Gynecol Obstet 117: 145
Wiot JF, Benton C, McAlister WH (1967) Postoperative pneumoperitoneum in children. Radiology 89: 285
Frimann-Dahl J (1974) Roenrgen examinations in acute abdominal diseases, 3d edn. Charles C Thomas, Springfield Illinois, p 53
Samuel E, Duncan JG, Philp T, Sumerling MD (1963) Radiology of the post-operative abdomen. Clin Radiol 14: 133
Hjortdal O (1970) The fate of resorbable hemostatic implants in rats. Acta Odontol Scand 28: 323
Bing J (1947) Experimental observations on the use of a Danish gelatine sponge preparation (“Spongostan”) as an absorbable haemostatic agent. Acta Pharmacol Toxicol (Copenh) 3: 364
Rankin RN (1979) Gas formation after renal tumor embolization without abscess: A benign occurrence. Radiology 130: 317
Roth B, Erne P, Hell K (1977) Subhepatischer Abszess nach Tamponade des Gallenblasenbettes mit gerinnungsaktiven Substanzen. Helv Chir Acta 44: 231
Knowlson GTG (1974) Gel-foam granuloma in the brain. J Neurol Neurosurg Psychiatry 37: 971
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Eklöf, O., Lebowitz, R.L. Localized intra-and retroperitoneal gas collections following intraoperative use of surgical gelatine sponge. Pediatr Radiol 11, 1–4 (1981). https://doi.org/10.1007/BF00972036
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DOI: https://doi.org/10.1007/BF00972036