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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.

DOI:10.1186/s40792-022-01479-6
PMID:35748964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9232674/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/c56b345e61b6/40792_2022_1479_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/ffb485bdd80d/40792_2022_1479_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/46bfdca10096/40792_2022_1479_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/c56b345e61b6/40792_2022_1479_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/ffb485bdd80d/40792_2022_1479_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/46bfdca10096/40792_2022_1479_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d4/9232674/c56b345e61b6/40792_2022_1479_Fig3_HTML.jpg

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本文引用的文献

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Intrathoracic Gossypiboma: An Overlooked Entity.胸腔内棉籽瘤:一种被忽视的病症。
Am J Case Rep. 2020 Sep 7;21:e923992. doi: 10.12659/AJCR.923992.
2
Gossypiboma Mimicking Fluorodeoxyglucose-avid Lung Nodule.棉籽异物误诊为氟脱氧葡萄糖摄取性肺结节。
Ann Thorac Surg. 2020 Jun;109(6):e403-e405. doi: 10.1016/j.athoracsur.2019.09.083. Epub 2019 Nov 21.
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Intrathoracic gossypiboma after spinal operation.脊柱手术后的胸腔内棉籽瘤
Ann Thorac Surg. 2015 Feb;99(2):e37-9. doi: 10.1016/j.athoracsur.2014.11.015.
4
Intrathoracic gossypiboma presenting 52 years later as a chest mass.52年后表现为胸部肿块的胸腔内棉纤维瘤。
Asian Cardiovasc Thorac Ann. 2015 Jun;23(5):596-8. doi: 10.1177/0218492314557181. Epub 2014 Oct 27.
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Gossypiboma and surgeon- current medicolegal aspect - a review.医用棉瘤与外科医生——当前法医学方面的综述
Indian J Surg. 2012 Aug;74(4):318-22. doi: 10.1007/s12262-012-0446-3. Epub 2012 Mar 27.
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Imaging of thoracic textiloma.胸部纺织异物的影像学表现。
Eur J Cardiothorac Surg. 2011 Mar;39(3):e22-6. doi: 10.1016/j.ejcts.2010.10.011. Epub 2010 Nov 26.
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[Resected asymptomatic intrathoracic textiloma 37 years after thoracotomy].[开胸术后37年切除无症状性胸内纺织瘤]
Arch Bronconeumol. 2010 Sep;46(9):492-3. doi: 10.1016/j.arbres.2010.04.002. Epub 2010 Aug 3.
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Improving safety in the operating room: a systematic literature review of retained surgical sponges.提高手术室安全性:关于遗留手术海绵的系统文献综述
Curr Opin Anaesthesiol. 2009 Apr;22(2):207-14. doi: 10.1097/ACO.0b013e328324f82d.
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Changes in CT appearance of intrathoracic gossypiboma over 10 years.10年间胸腔内棉球瘤的CT表现变化
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[Intrathoracic gossypiboma interpreted as bronchogenic carcinoma. Another false positive with positron emission tomography].[被误诊为支气管源性癌的胸腔内棉籽瘤。正电子发射断层扫描的又一假阳性结果]
Arch Bronconeumol. 2007 May;43(5):292-4.