Intrathoracic Gossypiboma: A Case Report

Filgueira Saito CH1*, Zimmermann NDA1, Visani de Luna LA1, Chate RC2 and Ribeiro Carvalho CR1

1Division of Pulmonary, Heart Institute (InCor), Hospital das Clínicas, Universidade de São Paulo (HCFMUSP), Brazil
2Radiology Institute (InRad), Hospital das Clínicas, Universidade de São Paulo (HCFMUSP), Brazil

^*Correspondance to: Camila Hanae Filgueira Saito 

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Abstract:

Gossypiboma is a surgical complication caused by a foreign body, mostly composed of cotton swabs, gauze or compress, which were left accidently in patients’ body after a procedure. The clinical examination is variable, which may include from asymptomatic patients to sepsis. It is often misinterpreted during diagnosis which may lead to delay in defining a correct intervention. In this case report we describe a thoracic gossypiboma after 30 years from the primary surgical intervention. We highlight the patient symptoms when admitted to the hospital, the exams pipeline which helped unveil the case of a gossypiboma, and the rationale behind the intervention decision. Computed Tomography images were conclusive for supporting the clinical decision and to guide the surgical intervention.

Keywords:

Gossypiboma; Textiloma; Surgical complication; Foreign body

Cite the Article:

Filgueira Saito CH, Zimmermann NDA, Visani de Luna LA, Chate RC, Ribeiro Carvalho CR. Intrathoracic Gossypiboma: A Case Report. Ann Clin Case Rep. 2023; 8: 2423..