[Pulmonary textiloma revealed by hemoptysis 12 years after thoracotomy].
BACKGROUND
Pulmonary textiloma or retained surgical sponge is rare but can have detrimental consequences. Its diagnosis is difficult, even when using computerized tomography (CT) scan and is always a medical and legal problem.


METHODS
We report the case of a 46-year-old man with a history of pulmonary tuberculosis diagnosed by thoracotomy in 1986, who was admitted to hospital for hemoptysis. CT scan showed the existence of a pulmonary lesion. Clinical, radiological and fiberoptic endoscopy features mimicked an abscess or bronchiectasis. The patient underwent left inferior lobectomy. Anatomical findings led to the diagnosis of textiloma.


CONCLUSIONS
This case shows the difficult in diagnosing pulmonary textiloma, even when using CT scan. Textiloma should be considered when an atypical pulmonary mass is found in a patient with past history of thoracotomy.
Hadrami
J
J
Service de soins intensifs, centre hospitalier de Courbevoie-Neuilly-sur-Seine, France.
Rojas
M
M
de Fenoyl
O
O
Kharsa
G
G
Marzelle
J
J
Chotard
Y
Y
D005500:Follow-Up Studies; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015503:Surgical Sponges / Q000009:adverse effects*; D013908:Thoracotomy / Q000009:adverse effects*; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
Textilome pulmonaire révélé par une hémoptysie 12 ans après thoracotomie.