Intrathoracic gossypiboma

Objective: Gossypiboma is a cotton matrix mass that is left behind in the body during the surgical operation. A retained surgical swab (gossypiboma) is a rare but an important complication of an intrathoracic surgery. Case Presentation: Intrathoracic gossypiboma was reported with cough and dyspnea,...

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Bibliographic Details
Published in:Hong Kong journal of emergency medicine 2018-09, Vol.25 (5), p.290-292
Main Authors: Kucuk, Canan, Arda, Kemal, Turkkani, Mustafa Hamidullah, Ata, Naim
Format: Article
Language:English
Subjects:
Complications
computed tomography
Coronary artery bypass
coronary artery bypass surgery
Coronary vessels
Gossypiboma
Granuloma
Heart surgery
Swabs (Surgery)
textiloma
Tomography
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Summary:Objective: Gossypiboma is a cotton matrix mass that is left behind in the body during the surgical operation. A retained surgical swab (gossypiboma) is a rare but an important complication of an intrathoracic surgery. Case Presentation: Intrathoracic gossypiboma was reported with cough and dyspnea, 7 years after coronary artery bypass surgery. Chest radiography and thorax computed tomography images' findings are discussed. The patient was operated in the hospital where he had undergone coronary artery bypass surgery. The patient recovered uneventfully with complete resolution of all clinical symptoms on follow-up. Discussion: The patients may be symptomatic for a long period after the operation and the clinical presentation of gossypibomas may be acute or delayed. Radiological methods, especially computerized tomography, are very helpful in diagnosis. Conclusion: The use of radiopaque marked sponges in surgical procedures may prevent the formation of gossypiboma.
ISSN:1024-9079
2309-5407
DOI:10.1177/1024907918754951