Intrathoracic Gossypiboma: An Overlooked Entity

Othman, Sharifah A.; AlSafwani, Jihad; Alsahwan, Abdullah G.; Aljehani, Yasser

doi:10.12659/ajcr.923992

Cited by 3 publications

(4 citation statements)

References 7 publications

(20 reference statements)

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“…Two different types of pathological foreign body reactions can occur: a fibrinous response creating adhesions and encapsulation or an exudative process leading to abscess formation [4]. Incidence, ranges from 1 per 1000 to 1 per 10 000 cases [5].…”

Section: Discussionmentioning

confidence: 99%

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https://www.gavinpublishers.com/article/view/universal-gravity-hurricane-clouds-ocean-geoid-low-and-the-ocean-surges-and-dimples

2023

Ann Case Report

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Background:The diagnostic value of lung ultrasound in identifying intra-thoracic masses following previous surgical interventions is shrouded in intrigue. Under-reporting and medico-legal concerns further complicate the identification and diagnosis of such cases. This study aims to unravel the enigmatic ultrasound characteristics of a unique intra-thoracic mass, accompanied by an enthralling ultrasound video presentation. Case Report: In this captivating case, a 66-year-old patient, who had undergone aortic valve replacement surgery five years prior, presented for a routine check-up. An incidental hypo echoic image in the lung sparked further investigation. Imaging studies revealed a distinct round mass, and lung ultrasound provided intriguing insights into its features, including hypo echoic, hyper echoic density, posterior hyper echoic densities, and dynamic changes with probe manipulation. Surgical intervention uncovered a suppurated cystic formation and a retained surgical material from the previous procedure. Conclusion: The unconventional nature of an intra-thoracic round mass following prior surgical intervention adds an aura of mystique to this case. Diagnosis and management are complex due to limited reported cases and medico-legal considerations. By sharing the captivating ultrasound characteristics and video presentation of this unique case, we aim to deepen our understanding of this enigmatic phenomenon and raise awareness among clinicians. This knowledge can aid in the timely identification and appropriate management of similar cases, ultimately improving patient outcomes. The diagnostic value of lung ultrasound in intra-thoracic masses should not be overlooked, offering a radiation-free approach to post-operative follow-up and the detection of late complications.

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Section: Discussionmentioning

confidence: 99%

“…The time from the surgery to diagnosis ranged from 3 weeks to 52 years [5,9]. Depending on the location and time, gossypiboma can present with signs of pulmonary infection.…”

Section: Discussionmentioning

confidence: 99%

https://www.gavinpublishers.com/article/view/universal-gravity-hurricane-clouds-ocean-geoid-low-and-the-ocean-surges-and-dimples

2023

Ann Case Report

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“…Several factors contribute to patient morbidity and mortality during surgery. Retained sponge/swap, gauzoma, muslinoma, textiloma, or cottonoid are examples of these, and they all lead to gossypiboma [ 1 , 2 ]. Gossypiboma can occur in any cavity, although the abdomen, pelvis, and thorax are the most common [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent analysis found only 40 cases in the English literature [ 1 ]. Clinically, patients may be asymptomatic for a long period or present with discomfort, nausea, vomiting, or a palpable lump, which can take anywhere from a few hours to years to diagnose [ 2 , 3 ]. Here, we report a case of intrathoracic gossypiboma that was missed for a long period of time with no symptoms.…”

Section: Introductionmentioning

confidence: 99%

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

Rafieian

Vahedi²,

Sarbazzadeh³

et al. 2022

surg case rep

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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.

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The Retained Surgical Items Risk Assessment Scale: Development and Psychometric Characteristics

Erkan,

Soyer Er

2024

Journal of Surgical Research

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Intrathoracic Gossypiboma: An Overlooked Entity

Cited by 3 publications

References 7 publications

https://www.gavinpublishers.com/article/view/universal-gravity-hurricane-clouds-ocean-geoid-low-and-the-ocean-surges-and-dimples

https://www.gavinpublishers.com/article/view/universal-gravity-hurricane-clouds-ocean-geoid-low-and-the-ocean-surges-and-dimples

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

The Retained Surgical Items Risk Assessment Scale: Development and Psychometric Characteristics

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