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A 31-year-old pericardial textiloma.
Dong Kyu Kim1, Su Kyung Hwang1, Sang Cjeol Lee1
1Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University Medical School, Ulsan, Republic of Korea.
Cardiovascular Journal of Africa
|December 10, 2019
Summary
A rare surgical complication, gossypiboma (retained surgical sponge), was discovered 31 years after heart surgery. This case highlights the importance of considering gossypiboma in patients with a history of surgery presenting with vague symptoms.
Area of Science:
- Medical Case Reports
- Surgical Complications
- Radiology
Background:
- Gossypibomas, or retained surgical sponges, are infrequent but significant post-operative complications.
- Delayed presentation can lead to diagnostic challenges and potential patient harm.
Observation:
- A 41-year-old male presented with unintentional weight loss and epigastric discomfort.
- Computed tomography revealed an incidental mediastinal mass in a patient with a history of cardiac surgery for ventricular septal defect repair.
Findings:
- Surgical exploration and excision revealed a 5-cm gossypiboma containing thrombus and gauze.
- Histopathological examination confirmed the presence of surgical gauze and organized thrombus.
Implications:
- This case underscores the critical need for vigilance in diagnosing delayed gossypibomas, even decades after the initial surgery.
- Effective management involves surgical excision, leading to favorable patient outcomes.
- Improved surgical safety protocols may help prevent such long-term complications.
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