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Thoracic textilomas after myocardial revascularisation: typical CT findings
L F Nobre1, E Marchiori, F May
1University Hospital, Santa Catarina Federal University, Campus Universitário - Trindade - CEP 88040-970, Florianópolis, SC, Brazil.
The British Journal of Radiology
|May 13, 2009
Summary
Intrathoracic textilomas, or retained surgical sponges, can be identified using computed tomography (CT) scans. These masses often appear as extrapulmonary lesions with specific characteristics after cardiac surgery.
Area of Science:
- Radiology
- Thoracic Surgery
- Medical Imaging
Background:
- Textilomas are rare retained foreign bodies that can occur after surgical procedures.
- Intrathoracic textilomas following myocardial revascularization surgery present diagnostic challenges.
Purpose of the Study:
- To describe the computed tomography (CT) findings of intrathoracic textilomas.
- To correlate imaging features with clinical history in patients post-myocardial revascularization.
Main Methods:
- Retrospective review of CT scans from five patients with post-thoracotomy textilomas.
- Independent analysis by two chest radiologists, with consensus on findings.
- Evaluation of lesion characteristics, including location, density, and enhancement patterns.
Main Results:
- All five cases demonstrated lesions resembling extrapulmonary masses with well-defined contours.
- Lesions were consistently located at the marginal posterior pleural surface.
- Four out of five cases showed a low-density center and peripheral rim-like enhancement post-contrast.
Conclusions:
- CT imaging can reveal characteristic features of intrathoracic textilomas.
- Suspicion should be high for textiloma in patients with prior myocardial revascularization presenting with posterior pleural masses.
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