Intrathoracic Gossypiboma Interpreted as Bronchogenic Carcinoma. Another False Positive With Positron Emission Tomography

Surgical intervention may not always be required in gossypiboma with intraluminal migration

“…It commonly leads to misdiagnosis and unnecessary surgery [12] . Clinical presentation may be acute or subacute, and may follow months or even years after surgery [14] . Presentation o f g o s s y p i b o m a m ay va r y a n d c a n b e c a u s e d by pseudotumoral, occlusive or septic syndromes [5] .…”

Imaging of Gossypibomas: Self-Assessment Module

“…Options A, B, and C, which are symptoms, are not the best responses. Other reported clinical symptoms are chest pain, low-grade fever, weight loss, and bilious expectoration [9][10][11][12]. Patients with pulmonary gossypiboma can experience shoulder pain [9], but to our knowledge neck pain has not been reported in these cases.…”

“…Option D is the best response. Llanos et al [10] reported a case of intrathoracic gossypiboma interpreted as bronchogenic carcinoma that showed a mass with low central uptake in relation to the actual gauze. The external capsule of the lesion had a high level of FDG activity secondary to the fibroblastic content.…”

Findings of Intramediastinal Gossypiboma With F-18 FDG PET in a Melanoma Patient

“…Ring-shaped increased FDG activity caused by gossypibomas has been previously reported in the region of the abdomen, 1-3 the neck, 4 and the lungs. 5 This is a rare case of intramediastinal gossypiboma detected by FDG PET/CT. It is interesting that all of the previously described PET findings about gossipibomas have shown ring-shaped activity with central photopenic regions, similar to the current case.…”