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Intrathoracic gossypiboma: radiographic and CT findings

Departments of ¹ Radiology, ² Surgery, ³ Internal Medicine and ⁴ Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Correspondence: Thitiporn Suwatanapongched, MD, Diagnostic Radiology Division, Department of Radiology, Ramathibodi Hospital, Faculty of Medicine, Mahidol University, 270 Rama VI Road, Rajthevi, Bangkok 10400, Thailand

Intrathoracic gossypiboma, a retained surgical sponge in the thoracic cavity, is a rare but serious consequence following surgery. Because of its rare occurrence and non-specific clinical and radiographic presentations, the diagnosis is often missed. Herein we report a patient presenting with a chronic recurrent cough due to a retained surgical sponge in the pleural cavity. The patient has been misdiagnosed with bronchiectasis for 22 years. The characteristic spongiform appearance on CT and a history of previous thoracic surgery led to the diagnosis of a gossypiboma that was confirmed at surgery.

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