Department of Radiology, Pamukkale University School of Medicine, Denizli, Turkey.
Diagn Interv Radiol. 2011 Jun;17(2):122-4. doi: 10.4261/1305-3825.DIR.3120-09.0. Epub 2010 Jun 30.
Here, we present chest radiography and computed tomography (CT) findings for three cases of mediastinal and pleural gossypiboma. Radiological manifestations varied according to the locations and chronicities of the gauze sponges and the types of reactions that they caused. CT analysis readily diagnosed gossypibomas in the early postoperative period by showing well-defined mediastinal- or pleural-based masses with hyperdense rims and central air bubbles. However, one patient presented in the late postoperative period, and a CT scan revealed a well-defined, solid pleural mass that was devoid of air bubbles; a correct diagnosis could not be established and the patient had to be reoperated on. Radiologists should be aware of different manifestations of this rare condition in cases of prior thoracic surgery and persistent respiratory symptoms.
在这里，我们呈现了三例纵隔和胸膜棉纱布遗留的胸部 X 线摄影和计算机断层扫描（CT）表现。纱布的位置和存在时间以及引发的反应类型不同，影像学表现也有所不同。CT 分析通过显示边界清楚的纵隔或胸膜肿块、高密度边缘和中央气泡，在术后早期很容易诊断出棉纱布遗留。然而，有一位患者在术后晚期就诊，CT 扫描显示边界清楚的实性胸膜肿块，没有气泡；无法做出明确诊断，患者不得不再次手术。放射科医生应该意识到在有过胸部手术和持续呼吸道症状的情况下，这种罕见情况的不同表现。
