Gossypiboma larynx: a rare cause of post-tracheostomy stridor-case report and review of literature.

Autor: Prakash GS; Department of General Surgery, Bronx Care Health System, Bronx, NY, USA., Satish V; Department of Pulmonology and Critical Care, Apollo Hospitals, 21/2 14th Main Jayanagar 1st Block, Bangalore, Karnataka, 560011, India. vikyathsatish20@gmail.com., Raju B; Department of Neurosurgery, Rutgers-Robert Wood Johnson University Hospital, New Brunswick, NJ, USA., Onkaramurthy NJ; Department of Internal Medicine, Columbia College of Physicians and Surgeons, NYC Health and Hospitals/Harlem Hospital Center, Harlem, NY, USA., Prakash S; Department of Thoracic Anesthesia, SDS and Rajiv Gandhi Institute of Chest Diseases, Bangalore, Karnataka, India.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Jun 18; Vol. 18 (1), pp. 293. Date of Electronic Publication: 2024 Jun 18.
DOI: 10.1186/s13256-024-04490-7
Abstrakt: Background: Gossypiboma, a retained surgical sponge with a foreign body reaction, is an unusual but serious complication seen in open abdominal surgeries. It is exceptionally rare following head and neck surgeries. Here, we present a case of Gossypiboma of the upper airway following tracheostomy.
Case Presentation: A 32-year-old male presented with stridor and difficulty breathing one-month post-tracheostomy after a severe head injury following a road traffic accident. A neck radiograph was unremarkable, and a computed tomography (CT) scan of the neck showed a well-defined homogenous curvilinear membrane extending from the hypopharynx to the upper trachea. Bronchoscopic evaluation of the larynx and upper trachea revealed a retained surgical sponge, which was retrieved. The patient's breathing improved drastically post intervention.
Conclusion: Gossypiboma may go undetected in radiographs and may also present atypically as a homogenous membrane on a CT scan of the neck. Though rare, retained surgical items can have profound medicolegal and professional consequences on physicians. Hence, a strong clinical suspicion and vigilance for gossypiboma is necessary for patients presenting with respiratory distress post-tracheostomy.
(© 2024. The Author(s).)
Databáze: MEDLINE
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