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Migration of surgical sponge retained at mediastinoscopy into the trachea

Department of Surgery, Faculty of Medicine and Division of Thoracic Surgery, Thoracic Diseases Institute, Federal University of Rio de Janeiro (UFRJ), Av. Brig. Trompowski S/n, Hospital Universitrio, Ilha do Fundo, Rio de Janeiro, RJ, Brazil

^* Corresponding author. Address: Rua Baráo de Lucena 48 - Suite 03, Rio de Janeiro, RJ 22260-020, Brazil. Tel./fax: +55-21-253-73499. (E-mail: haddad{at}ufrj.com).

It is uncommon to find an iatrogenic foreign body after thoracic surgery. We present a case of migration of a surgical sponge left inadvertently in the mediastinum during a troublesome mediastinoscopy, that migrated into the trachea 6 years later with airway obstruction. The foreign body was extracted through rigid bronchoscopy and the patient had a full recovery.