Suture granuloma extending intra-abdominally, detected five months postappendectomy.

Autor:	Eladawi S; Radiology department, Faculty of medicine, Alexandria University, Alexandria, Egypt., Ragab A; General surgery department, Faculty of medicine, Alexandria University, Alexandria, Egypt., Kayed M; Radiology department, Faculty of medicine, Alexandria University, Alexandria, Egypt., Elsabaa B; Pathology department, Faculty of medicine, Alexandria University, Alexandria, Egypt., Khaled M; Radiology department, Faculty of medicine, Alexandria University, Alexandria, Egypt.
Jazyk:	angličtina
Zdroj:	BJR case reports [BJR Case Rep] 2021 May 26; Vol. 7 (5), pp. 20200191. Date of Electronic Publication: 2021 May 26 (Print Publication: 2021).
DOI:	10.1259/bjrcr.20200191
Abstrakt:	Objective: Suture granulomas are localised inflammatory reactions that develop at the site of retained suture material. They are a rare surgical complication that is sometimes radiologically challenging to diagnose, especially if the intra-abdominal is communicating with the anterior abdominal wall. Methods: The case reported here was a 22-year-old female who presented with right iliac fossa pain 5 months post-appendectomy, which turned out to be due to a suture granuloma. Ultrasonography and CT with and without contrast misdiagnosed the lesion as an abscess or less likely as neoplasm. Conclusive diagnosis was based upon histopathological examination of tissue obtained by biopsy. Conclusion: When reviewing the images of patients who present with post-operative surgical complications, it is crucial to consider suture granuloma as a distinct possibility. A definitive diagnosis saves the patient from undergoing unnecessary extensive surgeries and improves the patient experience. (© 2021 The Authors. Published by the British Institute of Radiology.)
Databáze:	MEDLINE
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