{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:02:14Z","timestamp":1769695334471,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Surgicel is one of the commercial forms of oxidized regenerated cellulose used as a bioabsorbable topical haemostatic agent during surgical procedures. However, its presence can mimic an abscess, tumour, lymph node or retained foreign body on imaging studies. The challenge in cardiac surgery is to differentiate the haemostatic material from an abscess that might be mistaken for an early onset prosthetic valve endocarditis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 56-year-old woman was admitted to our department for a suspicion of early onset prosthetic valve endocarditis after an aortic valve replacement. An early clinical and biological improvement, features on a chest computed tomography scan, as well as a surgical correlation were able to rectify the diagnosis. The acute fever was linked to urinary tract infection, whereas the periaortic echogenic mass shown at the transoesophageal echocardiography corresponded to Surgicel.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Oxidized regenerated cellulose can mimic an abscess on cardiac imaging, especially when used in excess during cardiac surgery. Fortunately, some radiographic features can help differentiate the haemostatic material from an abscess. Hence, sharing the use and location of Surgicel between the surgeon, radiologist, and cardiologist is very important and necessary to make the correct diagnosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa334","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T04:03:08Z","timestamp":1605153788000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Surgicel mimicking early onset prosthetic valve endocarditis: case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-7989","authenticated-orcid":false,"given":"Hind","family":"Regragui","sequence":"first","affiliation":[{"name":"Cardiology B Department, Ibn Sina University Hospital Center, Mohammed V University, Boulevard Ibn Rochd, quartier Souissi, Rabat 10100, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-1615","authenticated-orcid":false,"given":"Badre","family":"El Boussaadani","sequence":"additional","affiliation":[{"name":"Cardiology B Department, Ibn Sina University Hospital Center, Mohammed V University, Boulevard Ibn Rochd, quartier Souissi, Rabat 10100, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Latifa","family":"Oukerraj","sequence":"additional","affiliation":[{"name":"Cardiology B Department, Ibn Sina University Hospital Center, Mohammed V University, Boulevard Ibn Rochd, quartier Souissi, Rabat 10100, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaafar","family":"Rhissassi","sequence":"additional","affiliation":[{"name":"Cardio-Vascular Surgery A Department, Ibn Sina University Hospital Center Ibn Sina, Mohammed V University, Rue Mfadel Cherkaoui, quartier Souissi, Rabat 10100, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2021010812215174900_ytaa334-B1","author":"Shah"},{"key":"2021010812215174900_ytaa334-B2","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/S1010-7940(02)00328-7","article-title":"A foreign body reaction to Surgicel mimicking an abscess following cardiac surgery","volume":"22","author":"Ibrahim","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021010812215174900_ytaa334-B3","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1517\/14712598.2013.848193","article-title":"Comparison of hemostatic agents used in vascular surgery","volume":"13","author":"Vyas","year":"2013","journal-title":"Expert Opin Biol Ther"},{"key":"2021010812215174900_ytaa334-B4","doi-asserted-by":"crossref","first-page":"461","DOI":"10.2214\/AJR.10.5119","article-title":"Commonly encountered foreign bodies and devices in the female pelvis: MDCT appearances","volume":"196","author":"Mausner","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"2021010812215174900_ytaa334-B5","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.2214\/ajr.172.6.10350276","article-title":"MR characteristics of oxidized cellulose (Surgicel)","volume":"172","author":"Oto","year":"1999","journal-title":"Am J Roentgenol"},{"key":"2021010812215174900_ytaa334-B6","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM)","volume":"36","author":"Habib","year":"2015","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/6\/1\/35545421\/ytaa334.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/6\/1\/35545421\/ytaa334.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T23:53:48Z","timestamp":1610582028000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/6\/1\/5975024"}},"subtitle":[],"editor":[{"given":"Elena","family":"Cavarretta","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marco De","family":"Carlo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Ali Nazmi","family":"Calik","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Bonaros","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Carlos Minguito","family":"Carazo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,11,12]]},"references-count":6,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,11,12]]},"published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa334","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,11,12]]}}}