Textiloma mimicking a pericardial hydatid cyst: A case report

Boutayeb, Alaae; Marmade, L.; Laaroussi, Mohammed; Bensouda, A.; Moughil, S.

doi:10.1016/j.hlc.2012.01.005

Cited by 2 publications

(6 citation statements)

References 4 publications

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“…It was possible to establish that, on the basis of case reports in the literature, in the vast majority of cases, the diagnosis of thoracic textiloma is confirmed only after surgical resection. ( 3 , 19 , 21 ) This finding is in agreement with ours, since in only 1 of the 16 patients studied was the diagnosis confirmed by transthoracic biopsy before resection.…”

Section: Discussionsupporting

confidence: 92%

“…According to the literature, the most common clinical manifestations are cough, expectoration, chest pain, hemoptysis, and dyspnea. ( 3 , 19 , 20 ) Regarding the surgery that caused the textiloma, heart surgery predominated, having been performed in 10 patients (62.5%), followed by lung surgery, in 3 (18.75%), and by other procedures (repair of a diaphragmatic laceration and mediastinal tumor resection), also in 3 (18.75%). In almost all published studies focused specifically on thoracic textilomas that we consulted, ( 2 , 3 , 12 - 14 , 20 - 26 ) heart surgery predominated as the original surgery, followed by lung surgery.…”

Section: Discussionmentioning

confidence: 99%

“…This refers not only to characteristics such as homogeneity, given that an initially homogeneous textiloma can become heterogeneous after calcifications or gas develop within it, but also to others, since there may be changes in size and even location when it comes to pleural masses. ( 19 , 21 )…”

Section: Discussionmentioning

confidence: 99%

“…De acordo com os dados da literatura, as manifestações clínicas mais comuns são tosse, expectoração, dor torácica, hemoptise e dispneia. ( 3 , 19 , 20 ) Quanto à cirurgia que levou à ocorrência do textiloma, houve um predomínio de cirurgias cardíacas, que foi a cirurgia realizada em 10 pacientes (62,5%); seguida pela pulmonar, em 3 (18,75%); e por outros procedimentos (correção de laceração diafragmática e ressecção de tumor mediastinal) também em 3 (18,75%). Em quase todos os trabalhos publicados e consultados especificamente sobre textilomas torácicos, ( 2 , 3 , 12 - 14 , 20 - 26 ) a cirurgia original predominante também foi a cardíaca, seguida pela pulmonar.…”

Section: Discussionunclassified

“…Isso se refere não somente a características, tais como homogeneidade, já que um textiloma inicialmente homogêneo pode passar a ser heterogêneo após o surgimento, em seu interior, de calcificações ou de gás, mas também a outras, uma vez que pode haver mudanças de tamanho e até de localização no que se refere às massas pleurais. ( 19 , 21 )…”

Section: Discussionunclassified

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Thoracic textilomas: CT findings

et al. 2014

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OBJECTIVE: The aim of this study was to analyze chest CT scans of patients with thoracic textiloma. METHODS: This was a retrospective study of 16 patients (11 men and 5 women) with surgically confirmed thoracic textiloma. The chest CT scans of those patients were evaluated by two independent observers, and discordant results were resolved by consensus. RESULTS: The majority (62.5%) of the textilomas were caused by previous heart surgery. The most common symptoms were chest pain (in 68.75%) and cough (in 56.25%). In all cases, the main tomographic finding was a mass with regular contours and borders that were well-defined or partially defined. Half of the textilomas occurred in the right hemithorax and half occurred in the left. The majority (56.25%) were located in the lower third of the lung. The diameter of the mass was ≤ 10 cm in 10 cases (62.5%) and > 10 cm in the remaining 6 cases (37.5%). Most (81.25%) of the textilomas were heterogeneous in density, with signs of calcification, gas, radiopaque marker, or sponge-like material. Peripheral expansion of the mass was observed in 12 (92.3%) of the 13 patients in whom a contrast agent was used. Intraoperatively, pleural involvement was observed in 14 cases (87.5%) and pericardial involvement was observed in 2 (12.5%). CONCLUSIONS: It is important to recognize the main tomographic aspects of thoracic textilomas in order to include this possibility in the differential diagnosis of chest pain and cough in patients with a history of heart or thoracic surgery, thus promoting the early identification and treatment of this postoperative complication.

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Section: Discussionsupporting

confidence: 92%