Okur H K, Okur E, Baran R
Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital, 34758 Istanbul, Turkey.
Thorac Cardiovasc Surg. 2009 Oct;57(7):432-4. doi: 10.1055/s-2008-1038962. Epub 2009 Sep 30.
An intrathoracic gossypiboma (surgical sponge retained within the thoracic cavity during surgery) is rare but causes serious surgical complications and presents with difficulties in the differential diagnosis. In this article, we describe three cases of intrathoracic gossypiboma identified with the help of exploratory surgery 22, 10 and 3 years after they had been retained after surgery. The radiological findings varied in these cases and were insufficient for an accurate preoperative diagnosis. Marked deterioration in the neighboring lung tissue was observed over time, and the patients who had gossypibomas for 22, 10 and 3 years required pneumonectomy, lobectomy and partial decortication, respectively.
胸腔内棉籽瘤（手术过程中留在胸腔内的手术海绵）很罕见，但会引发严重的手术并发症，且在鉴别诊断方面存在困难。在本文中，我们描述了3例胸腔内棉籽瘤病例，这些病例分别是在术后22年、10年和3年通过探查手术才得以确诊，它们在手术时被遗留于体内。这些病例的影像学表现各不相同，术前无法进行准确诊断。随着时间推移，邻近肺组织出现明显恶化，患有棉籽瘤22年、10年和3年的患者分别需要进行全肺切除术、肺叶切除术和部分纤维板剥脱术。
