47年后表现为脓性瘘管的胸腔内棉籽瘤：一例病例报告
Intrathoracic gossypiboma presenting 47 years later as a purulent fistula: a case report.
作者信息
Rafieian Shahab, Vahedi Matin, Sarbazzadeh Javad, Amini Hesam, Ershadi Reza
机构信息
Department of Thoracic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Qarib Street, Tehran, Iran.
出版信息
Surg Case Rep. 2022 Jun 24;8(1):123. doi: 10.1186/s40792-022-01479-6.
BACKGROUND
Intrathoracic gossypiboma is a consequence of retained sponge/swap, gauzoma, muslinoma, textiloma, or cottonoid in the thoracic cavity during surgery. The thoracic cavity is of the rarest place for gossypiboma as these entities most occur after abdominal surgery.
CASE PRESENTATION
We report a case of intrathoracic gossypiboma that was missed for an extended period of time with no symptoms and was successfully treated with surgical intervention.
CONCLUSIONS
The rarity of gossypiboma necessitates a high index of suspicion for correct diagnosis. Gossypiboma is often difficult to diagnose, leading to misdiagnosis and unnecessary interventions. It is important to consider this entity as a diagnosis in any case with an unexplained or unusual presentation during the postoperative period.
背景
胸腔棉籽瘤是手术过程中胸腔内残留海绵/纱条、纱布瘤、棉布瘤、纺织瘤或棉片所致。胸腔是棉籽瘤最罕见的发生部位，因为这些病变大多发生在腹部手术后。
病例报告
我们报告一例胸腔棉籽瘤病例，该病例长期未被发现且无症状，经手术干预成功治愈。
结论
棉籽瘤的罕见性要求高度怀疑以进行正确诊断。棉籽瘤常难以诊断，导致误诊和不必要的干预。在术后出现任何无法解释或异常表现的病例中，将该病变考虑为诊断是很重要的。
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