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Roentgenogram of the Month |

Paracardiac Opacity Following Inferior- and Middle-Lobe Resection for Bronchogenic Carcinoma*: Unsuspected Diagnosis

Alain Jean Poncelet, MD; Christine Watremez, MD; Denis Tack, MD; Philippe Noirhomme, MD
Author and Funding Information

*From the Department of Cardiovascular and Thoracic Surgery and Department of Anesthesiology (Drs. Poncelet, Watremez, and Noirhomme) and Department of Radiology (Dr. Tack), RHMS Baudour, Baudour, Belgium.

Correspondence to: Alain Poncelet, MD, Cardio-Vascular and Thoracic Surgery Unit, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Avenue Hippocrate 10, B-1200-Brussels, Belgium; e-mail: Poncelet@chir.ucl.ac.be



Chest. 2005;128(1):439-441. doi:10.1378/chest.128.1.439
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We report the case of a patient who had benefited initially from a right middle and lower lobectomy for bronchogenic carcinoma and who had an extensive radiologic workup in an outside hospital in the early postoperative period. Based on CT scan findings, this patient was referred back with a diagnosis that conveys both medical and medicolegal issues: a gossypiboma (or retained surgical sponge). We describe herein the unexpected operative findings that highlight the difficulty in accurately diagnosing intrathoracic foreign bodies.

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