Advertisement
Brief clinical report| Volume 75, ISSUE 2, P296-298, February 1974

Download started.

Ok

Starch pleuritis: A postthoracotomy syndrome possibly caused by surgical glove powder

  • Andrew L. Warshaw
    Correspondence
    Reprint requests: Dr. A. L. Warshaw, Massachusetts General Hospital, Boston, Mass.
    Affiliations
    From the General Surgical Services, Massachusetts General Hospital, Boston, Mass., USA

    From the Department of Surgery, Harvard Medical School, Boston, Mass., USA
    Search for articles by this author
  • Lawrence J. Mills
    Affiliations
    From the General Surgical Services, Massachusetts General Hospital, Boston, Mass., USA

    From the Department of Surgery, Harvard Medical School, Boston, Mass., USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      This report describes a patient who developed transient pleuritic chest pain, fever, wound induration, and a sterile pleural effusion eight days after thoracotomy. Thoracentesis yielded sterile fluid which contained many mononuclear leukocytes and many starch granules. Control pleural fluid from asymptomatic postthoracotomy patients did not contain starch. These circumstances are precisely analogous to those in starch peritonitis. We suggest that this patient's symptoms were due to starch pleuritis.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ignatius J.A.
        • Hartmann W.H.
        The glove starch peritonitis syndrome.
        Ann. Surg. 1972; 175: 388
        • Sobel H.J.
        • Schiffman R.J.
        • Schwarz R.
        • et al.
        Granulomas and peritonitis due to glove starch powder.
        Arch. Pathol. 1971; 91: 559
        • Soderberg Jr., C.H.
        • Lou T.Y.
        • Randall H.T.
        Glove starch granulomatous peritonitis.
        Am. J. Surg. 1973; 125: 455
        • Warshaw A.L.
        Diagnosis of starch peritonitis by paracentesis.
        Lancet. 1972; 2: 1054
        • Warshaw A.L.
        Management of starch peritonitis without the unnecessary second operation.
        Surgery. 1973; 73: 681