A rare case of intrathoracic Gauzoma

Abstract Background Gauzoma is a foreign body reactive granuloma which is an extremely rare complication of thoracic surgery. We describe a case of a Gauzoma in which the gauzes were removed by mini-thoracotomy as a less invasive procedure, discovered incidentally after 35 years of follow-up. Case p...

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Main Authors: Taishi Adachi, Hidenao Kayawake, Hiroshi Hamakawa, Yutaka Takahashi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03264-y
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author Taishi Adachi
Hidenao Kayawake
Hiroshi Hamakawa
Yutaka Takahashi
author_facet Taishi Adachi
Hidenao Kayawake
Hiroshi Hamakawa
Yutaka Takahashi
author_sort Taishi Adachi
collection DOAJ
description Abstract Background Gauzoma is a foreign body reactive granuloma which is an extremely rare complication of thoracic surgery. We describe a case of a Gauzoma in which the gauzes were removed by mini-thoracotomy as a less invasive procedure, discovered incidentally after 35 years of follow-up. Case presentation A 51-year-old man was referred to our department for hyperhidrosis treatment, and imaging studies and biopsy confirmed the diagnosis of Gauzoma. As the Gauzoma gradually grew for a few years, surgical intervention was judged necessary, and the removal of the gauzes was performed in this case. A two-stage operation in two days was required to complete the surgery. The completion of gauze removal was confirmed in the second surgery using a postoperative computed tomography (CT) scan. The patient is currently doing well 17 months after surgery, and the size of granuloma unchanged. Conclusion We performed the removal of the gauzes as the treatment for Gauzoma. Although removing the gauze may have prevented its growth so far, careful follow-up is still needed.
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spelling doaj-art-b0af901b8c224cb4a31bb7876ddf9fe32025-01-12T12:39:15ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011410.1186/s13019-024-03264-yA rare case of intrathoracic GauzomaTaishi Adachi0Hidenao Kayawake1Hiroshi Hamakawa2Yutaka Takahashi3Department of Thoracic Surgery, Kobe City Medical Center General HospitalDepartment of Thoracic Surgery, Kobe City Medical Center General HospitalDepartment of Thoracic Surgery, Kobe City Medical Center General HospitalDepartment of Thoracic Surgery, Kobe City Medical Center General HospitalAbstract Background Gauzoma is a foreign body reactive granuloma which is an extremely rare complication of thoracic surgery. We describe a case of a Gauzoma in which the gauzes were removed by mini-thoracotomy as a less invasive procedure, discovered incidentally after 35 years of follow-up. Case presentation A 51-year-old man was referred to our department for hyperhidrosis treatment, and imaging studies and biopsy confirmed the diagnosis of Gauzoma. As the Gauzoma gradually grew for a few years, surgical intervention was judged necessary, and the removal of the gauzes was performed in this case. A two-stage operation in two days was required to complete the surgery. The completion of gauze removal was confirmed in the second surgery using a postoperative computed tomography (CT) scan. The patient is currently doing well 17 months after surgery, and the size of granuloma unchanged. Conclusion We performed the removal of the gauzes as the treatment for Gauzoma. Although removing the gauze may have prevented its growth so far, careful follow-up is still needed.https://doi.org/10.1186/s13019-024-03264-yGauzomaForeign body granulomaLess-invasive surgeryPostoperative computed tomography
spellingShingle Taishi Adachi
Hidenao Kayawake
Hiroshi Hamakawa
Yutaka Takahashi
A rare case of intrathoracic Gauzoma
Journal of Cardiothoracic Surgery
Gauzoma
Foreign body granuloma
Less-invasive surgery
Postoperative computed tomography
title A rare case of intrathoracic Gauzoma
title_full A rare case of intrathoracic Gauzoma
title_fullStr A rare case of intrathoracic Gauzoma
title_full_unstemmed A rare case of intrathoracic Gauzoma
title_short A rare case of intrathoracic Gauzoma
title_sort rare case of intrathoracic gauzoma
topic Gauzoma
Foreign body granuloma
Less-invasive surgery
Postoperative computed tomography
url https://doi.org/10.1186/s13019-024-03264-y
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