Thoracic textilomas after myocardial revascularisation: typical CT findings

The objective of this work was to report the tomographic findings in five cases of intrathoracic textilomas. The CT scans of five patients presenting with textilomas after being submitted to thoracotomy for myocardial revascularisation were reviewed retrospectively. Two chest radiologists studied th...

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Bibliographic Details
Published in:British journal of radiology 2010, Vol.83 (985), p.4-7
Main Authors: NOBRE, L. F, MARCHIORI, E, MAY, F, CARRAO, A. D, ZANETTI, G, MACHADO, D. M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Biopsy, Fine-Needle
Contrast Media
Cough - etiology
Diagnosis, Differential
Female
Foreign Bodies - diagnostic imaging
Foreign Bodies - pathology
Granuloma, Foreign-Body - diagnostic imaging
Granuloma, Foreign-Body - pathology
Humans
Male
Medical sciences
Middle Aged
Myocardial Revascularization
Pleural Cavity - diagnostic imaging
Pleural Cavity - pathology
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Surgical Sponges
Thoracotomy
Tomography, X-Ray Computed
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Summary:The objective of this work was to report the tomographic findings in five cases of intrathoracic textilomas. The CT scans of five patients presenting with textilomas after being submitted to thoracotomy for myocardial revascularisation were reviewed retrospectively. Two chest radiologists studied the scans independently, and decisions concerning the CT findings were made by consensus. In each of the five cases, the imaging findings were similar and showed lesions resembling an extrapulmonary mass and well-defined contours situated at the marginal posterior pleural surface. In four of the five cases, a low-density centre and peripheral rim-like enhancement were observed after administration of contrast media. The suspicion of textiloma should be raised when a patient with a history of previous myocardial revascularisation surgery presents with an extrapulmonary mass in close contact with the posterior pleural surface.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/68800282