A Rare Cause of Recurrent Left-Sided Pleuropulmonary Infection: Retained Bulldog Clamp in the Pleural Cavity

Dr. Arun V Joy, Dr. Vyshnavi Rajeev

Abstract: Background: Retained surgical instruments are rare but serious postoperative complications that can result in chronic infection, pain, and morbidity. Retained metallic clamps are particularly unusual, especially in thoracic surgeries. Case summary: A 69-year-old male with a history of coronary artery bypass grafting (CABG) in 2003 presented with recurrent left lower lobe consolidation and multiloculated pleural effusion. Imaging revealed a metallic foreign body in the left pleural cavity. Surgical exploration confirmed the presence of a bulldog vascular clamp embedded near the left diaphragm. The foreign body was removed via thoracotomy and the associated lung injury repaired. The patient had complete recovery with no recurrence at follow-up. Conclusion: This case highlights an extremely rare instance of a retained intrathoracic bulldog clamp presenting years after cardiac surgery. It underscores the need for strict intraoperative instrument accounting and high suspicion in patients with unexplained chronic thoracic symptoms and prior surgical history.

Keywords: Retained surgical instruments, recurrent left lower lobe consolidation, bulldog vascular clamp, thoracotomy

How to Cite?: Dr. Arun V Joy, Dr. Vyshnavi Rajeev, "A Rare Cause of Recurrent Left-Sided Pleuropulmonary Infection: Retained Bulldog Clamp in the Pleural Cavity", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 1590-1592, https://www.ijsr.net/getabstract.php?paperid=SR251028105744, DOI: https://dx.doi.org/10.21275/SR251028105744