Intrathoracic gossypiboma presenting 47 years later as a purulent fistula: a case report

Abstract Background Intrathoracic gossypiboma is a consequence of retained sponge/swap, gauzoma, muslinoma, textiloma, or cottonoid in the thoracic cavity during surgery. The thoracic cavity is of the rarest place for gossypiboma as these entities most occur after abdominal surgery. Case presentatio...

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Bibliographic Details
Main Authors: Shahab Rafieian, Matin Vahedi, Javad Sarbazzadeh, Hesam Amini, Reza Ershadi
Format: Article
Language:English
Published: Japan Surgical Society 2022-06-01
Series:Surgical Case Reports
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Online Access:https://doi.org/10.1186/s40792-022-01479-6
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Summary:Abstract Background Intrathoracic gossypiboma is a consequence of retained sponge/swap, gauzoma, muslinoma, textiloma, or cottonoid in the thoracic cavity during surgery. The thoracic cavity is of the rarest place for gossypiboma as these entities most occur after abdominal surgery. Case presentation We report a case of intrathoracic gossypiboma that was missed for an extended period of time with no symptoms and was successfully treated with surgical intervention. Conclusions The rarity of gossypiboma necessitates a high index of suspicion for correct diagnosis. Gossypiboma is often difficult to diagnose, leading to misdiagnosis and unnecessary interventions. It is important to consider this entity as a diagnosis in any case with an unexplained or unusual presentation during the postoperative period.
ISSN:2198-7793