title: A 65-year-old man with an endobronchial gossypiboma after lobectomy for abscessing pneumonia.
abstract: We present a case of a 65-year-old man with recurrent hemoptysis and weight loss for 6 months. Thirty-two years earlier, lobectomy of the right lower lobe had been performed for abcessing pneumonia. Due to recurrent pulmonary infections after lobectomy the patient had to retire at the age of 46. A diagnostic procedure to explain the hemoptysis was performed. A computed tomogram revealed a suspicious formation in the bronchus intermedius, and the patient was referred to our department with the suspicion of lung cancer. During bronchoscopy an endobronchial mass was detected and extracted whole with a foreign-body forceps. Textile fibers of a sponge in the histology specimen led to the final diagnosis of gossypiboma (also known as textiloma). After removal of the gossypiboma no further pulmonary infections occurred.
authors.affiliation: Department of Pneumology and Respiratory Critical Care Medicine, Thoraxklinik, University of Heidelberg, Amalienstrasse 5, D-69126 Heidelberg, Germany. michael.kreuter@thoraxklinik-heidelberg.de
authors.forename: Michael
authors.initials: M
authors.lastname: Kreuter
authors.forename: Ralf
authors.initials: R
authors.lastname: Eberhardt
authors.forename: Matthias
authors.initials: M
authors.lastname: Wiebel
authors.forename: Martin R
authors.initials: MR
authors.lastname: Schulz
authors.forename: Klaus-Michael
authors.initials: KM
authors.lastname: Mueller
authors.forename: Felix Jf
authors.initials: FJ
authors.lastname: Herth
mesh_terms: D000368:Aged; D001982:Bronchial Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D015745:Granuloma, Foreign-Body / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008169:Lung Abscess / Q000601:surgery; D008297:Male; D011013:Pneumonectomy; D011014:Pneumonia / Q000601:surgery; D015503:Surgical Sponges