Koul Parvaiz A, Mufti Showkat A, Khan Umar Hafiz, Jan Rafi A
Department of Internal and Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):228-30. doi: 10.1093/icvts/ivr058. Epub 2011 Nov 23.
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.
一名45岁女性，在因结核后纤维化伴支气管扩张接受手术后8个月，出现了5个月的咳嗽病史。计算机断层扫描（CT）显示，在右主支气管残端附近的肺切除腔内可见一个海绵状结构。支气管镜检查发现一个白色肿物阻塞右主支气管残端，试图取出时，从残留的手术纱布中取出了长线状棉纤维。手术切除了棉球瘤，患者症状消失。棉球瘤虽然在胸外科手术后很少见，但在术后出现症状时需要考虑到。
