Sudden suffocation by surgical sponge retained after a 23-year-old thoracic surgery

Istvan F. Szentmariay, Andras Laszik, P. Sótónyi

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

A 70-year-old male patient with a 23-year-old history of right lower lung lobectomy for primary pulmonary adenocarcinoma (T1 N0 M0) presented with recurrent bronchopneumonia and purulent sputum. Pleural callus, lung abscess, bronchopleural fistula, and stitch granulomas were confirmed by chest x-ray, computed tomography scan, and bronchoscopy in the background of his complaints. An attempt to remove the bronchial purulent discharge and tissue sampling was made by using a flexible bronchoscope. The area of the lower trachea suddenly became clogged during bronchoscopic removal of the suspected piece of tissue (which later turned out to be organizing surgical gauze). The resuscitation following ventricular fibrillation failed to save the patient's life. The forensic postmortem examination confirmed the position of the foreign body extending from the abscess cavity, crossing the midline at carina and obstructing the lower trachea. This foreign body was a remnant of the surgical gauze left behind during a thoracic surgery 23 years ago.

Original languageEnglish
Pages (from-to)324-326
Number of pages3
JournalAmerican Journal of Forensic Medicine and Pathology
Volume25
Issue number4
DOIs
Publication statusPublished - Dec 2004

Fingerprint

Asphyxia
Foreign Bodies
Trachea
complaint
surgery
Thoracic Surgery
Lung Abscess
Bronchoscopes
Bronchopneumonia
examination
Bony Callus
Bronchoscopy
Ventricular Fibrillation
history
Granuloma
Sputum
Resuscitation
Abscess
Fistula
Autopsy

Keywords

  • Bronchoscopy
  • Foreign body
  • Retained surgical sponges
  • Suffocation

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Pathology and Forensic Medicine
  • Law

Cite this

Sudden suffocation by surgical sponge retained after a 23-year-old thoracic surgery. / Szentmariay, Istvan F.; Laszik, Andras; Sótónyi, P.

In: American Journal of Forensic Medicine and Pathology, Vol. 25, No. 4, 12.2004, p. 324-326.

Research output: Contribution to journalArticle

@article{951b38a6c3d44a1dbda1511362f04fd1,
title = "Sudden suffocation by surgical sponge retained after a 23-year-old thoracic surgery",
abstract = "A 70-year-old male patient with a 23-year-old history of right lower lung lobectomy for primary pulmonary adenocarcinoma (T1 N0 M0) presented with recurrent bronchopneumonia and purulent sputum. Pleural callus, lung abscess, bronchopleural fistula, and stitch granulomas were confirmed by chest x-ray, computed tomography scan, and bronchoscopy in the background of his complaints. An attempt to remove the bronchial purulent discharge and tissue sampling was made by using a flexible bronchoscope. The area of the lower trachea suddenly became clogged during bronchoscopic removal of the suspected piece of tissue (which later turned out to be organizing surgical gauze). The resuscitation following ventricular fibrillation failed to save the patient's life. The forensic postmortem examination confirmed the position of the foreign body extending from the abscess cavity, crossing the midline at carina and obstructing the lower trachea. This foreign body was a remnant of the surgical gauze left behind during a thoracic surgery 23 years ago.",
keywords = "Bronchoscopy, Foreign body, Retained surgical sponges, Suffocation",
author = "Szentmariay, {Istvan F.} and Andras Laszik and P. S{\'o}t{\'o}nyi",
year = "2004",
month = "12",
doi = "10.1097/01.paf.0000137273.73799.d6",
language = "English",
volume = "25",
pages = "324--326",
journal = "American Journal of Forensic Medicine and Pathology",
issn = "0195-7910",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Sudden suffocation by surgical sponge retained after a 23-year-old thoracic surgery

AU - Szentmariay, Istvan F.

AU - Laszik, Andras

AU - Sótónyi, P.

PY - 2004/12

Y1 - 2004/12

N2 - A 70-year-old male patient with a 23-year-old history of right lower lung lobectomy for primary pulmonary adenocarcinoma (T1 N0 M0) presented with recurrent bronchopneumonia and purulent sputum. Pleural callus, lung abscess, bronchopleural fistula, and stitch granulomas were confirmed by chest x-ray, computed tomography scan, and bronchoscopy in the background of his complaints. An attempt to remove the bronchial purulent discharge and tissue sampling was made by using a flexible bronchoscope. The area of the lower trachea suddenly became clogged during bronchoscopic removal of the suspected piece of tissue (which later turned out to be organizing surgical gauze). The resuscitation following ventricular fibrillation failed to save the patient's life. The forensic postmortem examination confirmed the position of the foreign body extending from the abscess cavity, crossing the midline at carina and obstructing the lower trachea. This foreign body was a remnant of the surgical gauze left behind during a thoracic surgery 23 years ago.

AB - A 70-year-old male patient with a 23-year-old history of right lower lung lobectomy for primary pulmonary adenocarcinoma (T1 N0 M0) presented with recurrent bronchopneumonia and purulent sputum. Pleural callus, lung abscess, bronchopleural fistula, and stitch granulomas were confirmed by chest x-ray, computed tomography scan, and bronchoscopy in the background of his complaints. An attempt to remove the bronchial purulent discharge and tissue sampling was made by using a flexible bronchoscope. The area of the lower trachea suddenly became clogged during bronchoscopic removal of the suspected piece of tissue (which later turned out to be organizing surgical gauze). The resuscitation following ventricular fibrillation failed to save the patient's life. The forensic postmortem examination confirmed the position of the foreign body extending from the abscess cavity, crossing the midline at carina and obstructing the lower trachea. This foreign body was a remnant of the surgical gauze left behind during a thoracic surgery 23 years ago.

KW - Bronchoscopy

KW - Foreign body

KW - Retained surgical sponges

KW - Suffocation

UR - http://www.scopus.com/inward/record.url?scp=10044296025&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=10044296025&partnerID=8YFLogxK

U2 - 10.1097/01.paf.0000137273.73799.d6

DO - 10.1097/01.paf.0000137273.73799.d6

M3 - Article

VL - 25

SP - 324

EP - 326

JO - American Journal of Forensic Medicine and Pathology

JF - American Journal of Forensic Medicine and Pathology

SN - 0195-7910

IS - 4

ER -