Retained Surgical Sponge Diagnosed as a Paracardiac Mass 35 Years After Surgery

Abstract

Retained foreign bodies following surgery are of medico-legal importance. Most commonly, surgical sponges are retained. Although the typical localization is in the intraabdominal region, mediastinal presentations are also observed. Here, we report a case of retained sponge diagnosed as a paracardiac mass 35 years after closed mitral commissurotomy. The radiologic diagnosis could not be established with plain X-ray due to absence of radiopaque string in it. The patient had no signs of infection or mass effect. During mitral valve replacement and coronary bypass surgery, surgical removal of the sponge was performed.

Keywords

• Retained Surgical Sponge Diagnosed as a Paracardiac Mass 35 Years After Surgery

Otuz Beş Yıl Sonra Parakardiyak Kitle Olarak Saptanan Unutulmuş Cerrahi Spanç

Abstract

Cerrahi sonrasında unutulmuş yabancı cisimler mediko-legal öneme sahiptir. Sıklıkla cerrahi spanç unutulur. Tipik lokalizasyon intraabdominal bölge olsa da, mediastende de görülebilir. Biz çalışmamızda, kapalı mitral komissürotomiden 35 yıl sonra parakardiyak kitle olarak saptanan unutulmuş bir cerrahi spanç vakasını bildiriyoruz. Röntgenografi ile radyolojik tanı, spanç içerisinde radyoopak işaret olmadığı için yapılamamıştır. Hastada enfeksiyon bulgusu ya da kitle etkisi yoktu. Mitral kapak replasmanı ve koroner bypass cerrahisi sırasında spanç çıkartılmıştır.

Keywords

• Otuz Beş Yıl Sonra Parakardiyak Kitle Olarak Saptanan Unutulmuş Cerrahi Spanç

References

1. Sun HS, Chen SL, Kuo CK, Wang SC, Kao YL. Gossypiboma-Retained Surgical Sponge. J Chin Med Assoc 2007;70:511-3.
2. Poncelet AJ, Watremez C, Tack D, Noirhomme P. Paracardiac Opacity Following Inferior and Middle-Lobe Resection for Bronchogenic Carcinoma. Chest 2005;128;439-41.
3. Hochhegger B, Zanetti G, Garcia TS, Marchiori E. Retained surgical sponge presenting as a cardiac mass. Eur J Cardiothorac Surg 2012;41:e129.
4. Aminian A. Gossypiboma: a case report. Cases Journal 2008;1:220
5. İnci MF, Özkan F, Okumuş M, Köylü A, Yüksel M. Çok nadir bir akut batın nedeni: Gossipiboma. Dicle Tıp Dergisi 2012;39:445-8.
6. Kaplan M, Iyikosker HI. A new complication of retained surgical gauze: development of malignant fibrous histiocytoma--report of a case with a literature review. World J Surg Oncol 2012;10:139.
7. Godara R, Marwah S, Karwasra RK, Goel R, Sen J, Singh R. Spontaneous Transmural Migration of Surgical Sponges. Asian J Surg 2006;29:44-5.
8. d) The pericardial cavity seen after removal of the sponge.