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Case Reports
. 2012 Feb;14(2):228-30.
doi: 10.1093/icvts/ivr058. Epub 2011 Nov 23.

Intrathoracic gossypiboma causing intractable cough

Parvaiz A Koul  1 , Showkat A Mufti, Umar Hafiz Khan, Rafi A Jan
Affiliations
Case Reports

Intrathoracic gossypiboma causing intractable cough

Parvaiz A Koul et al. Interact Cardiovasc Thorac Surg. 2012 Feb.

Abstract

A 45-year old woman presented with a 5-month history of coughing, eight months after surgery for post-tubercular fibrosis with bronchiectasis. Upon computerized tomography (CT) scanning, a sponge-like structure was seen in the pneumonectomy cavity near the stump of the right main bronchus. Bronchoscopic examination revealed a whitish mass blocking the right main bronchial stump which, upon attempted retrieval, yielded long threads of cotton fibres from a retained surgical gauze. The gossypiboma was removed surgically and the patient became symptom-free. Although rare after thoracic surgery, gossypibomas need to be considered in symptoms following surgery.

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Figures

Figure 1:
Figure 1:
(a) Chest radiograph showing right hemithoracic opacification. (b) CT scan showing the sponge in the cavity. (c) Whitish mass on bronchoscopy. (d) Retrieved cotton fibres.
See this image and copyright information in PMC

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