Images in Thorax
Gossypiboma in a man with persistent cough
1 Department of Surgery, Meander Medisch Centrum, The Netherlands
2 Department of Pulmonology, Meander Medisch Centrum, The Netherlands
Correspondence to:
Correspondence to:
Dr G H A Staaks
Meander Medisch Centrum, Department of Pulmonology, P O Box 1502, 3800 BM Amersfoort, The Netherlands; g.staaks@meandermc.nl
Keywords: chronic cough; aspergilloma; surgical sponge; gossypiboma
| The first 150 words of the full text of this article appear below. |
A 68 year old man was referred with a persistent productive cough but no haemoptysis. He did not complain of weight loss or fever and denied tobacco use or recent travel. An open lung biopsy had been performed at another hospital 8 years previously to confirm the diagnosis of tuberculosis; treatment was started but cultures remained negative.
Chest radiographs revealed a ball in a 5 cm large thin walled cavity in the right lower lobe (fig 1
). When the patient was asked to bend forward the ball moved. A CT scan of the chest confirmed the radiographic findings (fig 2). Sputum examinations were negative for tuberculosis and bacteria. Precipitins against aspergillus were positive, but IgE aspergillus was negative although total IgE was slightly raised to 276 (normal range 150).
[in a new window] Figure 1 Chest radiograph showing a thin walled cavity in the right lower lobe containing an oval soft tissue mass.
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Figure 2 CT | |||||||||
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This article has been cited by other articles:
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PARK, H J, IM, S A, CHUN, H J, PARK, S H, H O, J, LEE, K-Y
(2008). Changes in CT appearance of intrathoracic gossypiboma over 10 years. Br. J. Radiol.
81: e61-e63
[Abstract] [Full Text]
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