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

  • Georg E A Jacobs
  • Carl S Buss
  • Ross Hofmeyr University of Cape Town
Keywords: broncho-abdominal fistula, gossypiboma


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 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
Case Studies