CTICasesRetained Surgical Sponge (Gossypiboma)
Imaging findings
Post-operative chest radiograph following emergent CABG and intra-aortic balloon pump placement demonstrates a retained surgical sponge in the mediastinum, identified by its thin, curvilinear, radiopaque marker. A subsequent radiograph shows removal of the sponge and a change in sternal wire configuration.
Key takeaways
A retained surgical sponge (gossypiboma or textiloma) is a serious iatrogenic complication. Sponges are manufactured with radiopaque markers to facilitate radiographic detection. Operative radiographs should be carefully reviewed for these markers whenever the surgical count is incorrect.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Strongyloides HyperinfectionInfection
- Post-CPR Left Atrial InjuryIatrogenic
- Severe Pulmonary Edema with Venous LakesVascular
- Nivolumab-Induced PneumonitisIatrogenic
- Jugular Venous Distention and Tamponade in Aortic DissectionVascular
- Pulmonary Artery Calcification in Pulmonary Arterial HypertensionVascular
- Pacemaker Lead PerforationIatrogenic
- Secondary Pulmonary Hemosiderosis from Mitral StenosisVascular
See all cases from April 10, 2020 →