%0 Case Reports
%T Gossypiboma larynx: a rare cause of post-tracheostomy stridor-case report and review of literature.
%A Prakash GS
%A Satish V
%A Raju B
%A Onkaramurthy NJ
%A Prakash S
%J J Med Case Rep
%V 18
%N 1
%D 2024 Jun 18
%M 38886746
暂无%R 10.1186/s13256-024-04490-7
%X <B>BACKGROUND: </B>Gossypiboma, a retained surgical sponge with a foreign body reaction, is an unusual but serious complication seen in open abdominal surgeries. It is exceptionally rare following head and neck surgeries. Here, we present a case of Gossypiboma of the upper airway following tracheostomy.<BR><B>METHODS: </B>A 32-year-old male presented with stridor and difficulty breathing one-month post-tracheostomy after a severe head injury following a road traffic accident. A neck radiograph was unremarkable, and a computed tomography (CT) scan of the neck showed a well-defined homogenous curvilinear membrane extending from the hypopharynx to the upper trachea. Bronchoscopic evaluation of the larynx and upper trachea revealed a retained surgical sponge, which was retrieved. The patient's breathing improved drastically post intervention.<BR><B>CONCLUSIONS: </B>Gossypiboma may go undetected in radiographs and may also present atypically as a homogenous membrane on a CT scan of the neck. Though rare, retained surgical items can have profound medicolegal and professional consequences on physicians. Hence, a strong clinical suspicion and vigilance for gossypiboma is necessary for patients presenting with respiratory distress post-tracheostomy.