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

Surg Case Rep. 2022 Jun 24;8(1):123. doi: 10.1186/s40792-022-01479-6.

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.

Keywords: Gossypiboma; Purulent fistula; Video-assisted thoracoscopic surgery.