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Eur J Cardiothorac Surg 2003;24:300
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Intrathoracic gossypiboma: a movable body within a pseudocystic mass

Luciano Solaini*, Francesco Prusciano, Paolo Bagioni

Department of Surgery, Thoracic Surgery Unit, S. Maria delle Croci Hospital, V. le Randi, 5, 48100 Ravenna, Italy

Received 11 February 2003; received in revised form 24 March 2003; accepted 31 March 2003.

* Corresponding author. Tel.: +39-054-428-5473; fax: +39-054-428-5722
e-mail: lsolaini{at}libero.it

Key Words: Intrathoracic gossypiboma • Intrathoracic retained sponge • Intrathoracic mass

A 75-year-old woman, who 5 years before underwent a coronary surgery, reported the appearance of cough and weight loss. A chest X-ray followed by computed tomography (CT) scan revealed a large mass on the left hemidiaphragm. The diagnosis of gossypiboma was achieved by MNR (Fig. 1 ). The retained sponge was successfully removed by thoracotomy (Fig. 2 ).



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  		Fig. 1. MNR showing a mass with a round shape and pseudocystic structure placed anteriorly on the left hemidiaphragm; inside of it a movable opaque body can be seen.

 


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  		Fig. 2. Intraoperative view showing the pseudocystic mass opened and the surgical sponge soaked in a sterile thick liquid.

 



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