Abstract
Hemostasis is one of the most essential measures in Neurological procedures. Surgicel (Oxidized cellulose) is one of the most frequently used hemostatic agent used worldwide during surgical procedures. We aim to present a case of radiological diagnostic dilemma of a ring enhancing brain lesion where brain abscess, intracranial hematoma and surgicelloma was identified as challenging differential diagnosis. In this paper, we present a case, where a complication occurred with the use of surgicel following craniectomy and evacuation of hematoma.
Highlights
Oxidized cellulose is a hemostatic agent used during surgical procedures, when regular methods such as ligature and diathermocoagulation are ineffective to achieve.[1, 2]
Oxidized cellulose is left in situ and starts absorption after 24-48 hours, and at the day 7 gauge is surrounded by inflammatory granulation tissue and complete degradation occurs from 4-8 weeks.[4]
Case Description: 36-year-old Right-handed male patient with coexistent diabetes and hypertension presented with history of loss of consciousness left sided hemiplegia and seizures
Summary
Ali Niyaf[1], Kiran Niraula[1 ], Chandra Prakash Limbu[2], Arusha Ali Rasheed[1], Aminath Zauma[1]
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