A 64-year-old man had late-onset socket infection due to retained surgical gauze after evisceration. External examination showed a mass of retained surgical gauze with copious yellowish discharge and gas bubbles. Computed tomography scans showed a 3.2 × 2.4 × 2.4-cm heterogeneous mass and numerous gas bubbles. Culture of the discharge yielded Pseudomonas aeruginosa, Streptococcus viridans, Peptostreptococcus species, and Fusobacterium species. Surgical debridement and antibiotic therapy achieved a rapid resolution. Retained gauze after evisceration may lead to socket infection, and such a complication should be avoided.
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