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ABDOMINAL IMAGING Table of Contents   
Year : 2016  |  Volume : 26  |  Issue : 3  |  Page : 352-355
Bolster material granuloma masquerading as recurrent renal cell carcinoma following partial nephrectomy


Department of Urology and Radiology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

Correspondence Address:
Abhishek Singh
Muljhibhai Patel Urological Hospital, Nadiad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.190418

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Nephron sparing surgery has seen a phenomenal rise in its application over the past few decades. The use of Surgicel and gel foam for closure of defect created after partial nephrectomy has become a routine practice at many centers. In this case report, we describe radiological artifact secondary to a surgical bolster mimicking a residual disease or an early recurrence in the kidney. This case highlights two facts; first, reapproximation of the renal tissue is best done without the use of Surgicel bolsters. Second, bolsteroma should always be kept in mind as a differential diagnosis in a case where computed tomography (CT) imaging is showing early recurrence. If the surgeon is sure about the surgical margins being negative and the CT image shows a bolsteroma, the patient should be observed and a repeat scan should be done at 3–6 months, which would show regression or disappearance of the lesion proving it to be an artifact rather than malignant lesion.


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