Post-laparotomy haemoptysis due to broncho-abdominal fistula caused by retained abdominal surgical swab

Authors

  • Georg E A Jacobs
  • Carl S Buss
  • Ross Hofmeyr University of Cape Town

Keywords:

broncho-abdominal fistula, gossypiboma

Abstract

The case presented describes the migration of a surgical swab across the left hemidiaphragm over four years. The patient had at least two episodes of haemoptysis in that period and was misdiagnosed and treated for Pulmonary Tuberculosis. When the proper diagnosis was made and a lobectomy was planned for removal of the swab, the act of anaesthesia revealed a major bronchoabdominal fistula that was resolved by simply isolating that lung with an endobronchial tube. According to our search, such a left-sided broncho-abdominal fistula has, to date, not been described in the literature. (Full text available online at www.medpharm.tandfonline.com/ojaa) South Afr J Anaesth Analg 2016; DOI: 10.1080/22201181.2016.1228777

Author Biographies

Georg E A Jacobs

Private Practice Richards Bay South Africa

Carl S Buss

Private Practice Empangeni South Africa

Ross Hofmeyr, University of Cape Town

Department of Anaesthesia and Perioperative Medicine University of Cape Town Cape Town South Africa

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Published

2016-11-07

Issue

Section

Case Studies