Gossypiboma: hypopharynx

Presentation

Post thyroidectomy difficult swallowing and hoarseness of voice.

Patient Data

Age: 22 years
Gender: Female
Modality: CT

An ill defined hypopharyngeal lesion is seen 3 x 1.5 x 1.5 cm in maximum dimensions. It shows heterogeneous non-specific appearance with multiple air bubbles (spongiform appearance) . Arising at the midline supraglotic region and extending laterally to fill the right pyriform fossa, No muscle or vascular infiltration, associated with bilateral cervical lymph nodes

Surgically removed thyroid gland

Case Discussion

Gossypiboma means a foreign body reaction to retained surgical sponge after operation inside a body cavity. In our case, it is a cotton piece that was removed surgically. These cotton pieces may be missed at thyroidectomy for many reasons or it may been left behind by anaesthetics (sometimes they wedge gauze in the mouth with an ETT) as it seems quite remote from a thyroidectomy site.

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Case Information

rID: 52348
Case created: 3rd Apr 2017
Last edited: 7th Apr 2017
System: Head & Neck
Inclusion in quiz mode: Included

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