İntratorasik gossipibomada BT bulguları: Olgu sunumu

Bu olgu sunumunda epidermoid karsinom nedeniyle üç ay önce sağ pnömonektomi operasyonu geçirmiş olguda cerrahi sonrası toraks kavitesinde unutulan yabancı cismin (cerrahi tampon) tipik bilgisayarlı tomografi (BT) bulguları irdelenmiştir. BT de sağ hemitoraksda keskin sınırlı, kalın duvarlı yuvarlak ve tipik olarak hava dansiteleri içeren kitlesel lezyon ve buna eşlik eden postoperatif sağ plevral effüzyon izlenmektedir. Cerrahi olarak unutulan materyaller genellikle abdominal kavitede bildirilmişse de vücudun birçok farklı bölgesinde olabilir. Bu nedenle atipik ince ya da kalın duvarlı kitlesel lezyonlar operasyon öyküsü olan olgularda görüldüğünde gossipiboma ayırıcı tanıda düşünülmelidir.

Anahtar Kelimeler:

Tomografi, x-ışınlı bilgisayarlı, Karsinom, yassı hücreli, Yabancı cisim reaksiyonu, Plevral efüzyon, Toraks

CT appearance of an intrathoracic gossypiboma: Case report

We report a case of surgically retained intrathoracic sponge in a man who had right pneumonectomy for epidermoid carcinoma three months previously. Computed tomography examination showed a sharply defined thick walled rounded mass with typical whorl-like appearance and air bubbles and pleural effusion. Although surgically retained sponge or swab is commonly reported in the abdominal cavity, it may be seen in different sites of the body and should be considered in the differential diagnosis of a mass in patients with atypical thin or thick-walled mass who has undergone a previous operative procedure.

Keywords:

Tomography, X-Ray Computed, Carcinoma, Squamous Cell, Foreign-Body Reaction, Pleural Effusion, Thorax,

PDF

___

1. Patel AM, Trastek VF, Coles DT. Gossypibomas mimicking echinococcal cyst disease of the lung. Chest 1994; 105:284-285.
2. Özmen MN, Boyvat F, Altınok D, Akhan O. Retained surgical sponge after subtotal tyroidectomy. AJR 1993; 161:675-676.
3. Heffernan JP, Heidenberg JP, Irby PB, Moul JW. Gossypiboma (retained surgical sponge) and recurrent bladder neck contracture after surgical retropubic prostatectomy and bilateral pelvic lymph node dissection. J Urol 1997; 157:1356-1357.
4. Dülger H, Bayram AS, Kan , Topal U, Gebitekin C. ntratorasik Gossipiboma. Toraks Dergisi 2002; 3(2):204-206.
5. Vayre F, Richard P, Olivier JP. Intrathoracic Gossypiboma : magnetic resonance features. Int J Cardiol 1999; 70:199-200.
6. Topal U, Gebitekin C, Tuncel E. Intrathoracic gossypiboma. AJR 2001; 177:1485-1486.
7. Buy JN, Hubert J, Ghossain MA, Malbec L, Bethoux JP, Ecoiffer J. Computed tomography of retained abdominal sponge and towels. Gastrointest Radiol 1989; 14:41-45.
8. Cokun M, Boyvat F, Aıldere AM. CT features of a pericardial gossypiboma. Eur Radiol 1999; 9:728-730.
9. Mochizuki T, Takehara Y, Ichijo K, Nishimura T, Takahashi M, Kaneko M. MR appearance of a retained surgical sponge. Clin Radiol 1992; 46:66-67.
10. Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CV. Retained surgical sponge: diagnosis with CT and sonography. AJR 1988; 150:1047-1050.
11. Gallego JC, Pombo F, Torres J, Montero C. CT appearance of a surgical sponge retained in pleura. Acta Radiol 1993; 34:200.
12. Yamato M, Ido K, Izutsu M, Narimatsu Y, Hiramatsu K. CT and ultrasound findings of surgically retained sponges and towels. J Comput Asist Tomogr 1987; 11:1003-1006.
13. Grieten M, Van Poppel H, Baert L, Baert AL, Oyen R. Renal pseudotumor due to retained perirenal sponge: CT features. J Comput Assist Tomogr 1992; 16:305-307.
14. Kusashima S, Yamato M, Fujioka M, Ishibashi M, Kogure H, Tajima Y. MR findings of surgically retained sponges and towels: report of two cases. Radiat Med 1993; 11:98-101.