Suture granuloma

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Recurrent purulent discharge from appendectomy scar for 2 years.

Patient Data

Age: 20 years
Gender: Female
ultrasound

An irregular hypoechoic area is noted deep to lower end of appendectomy scar. Its size is about 15 x 15 x 10 mm. No mobile echoes are noted within. Local hypervascularity is noted. It involves subcutaneous fat. The involvement of fascia of external oblique is doubtful. No intra-peritoneal extension is noted. Curvilinear parallel lines are noted within it, suggestive of a suture material.

Case Discussion

Findings suggest suture granuloma at appendectomy scar site.

Granuloma was surgically removed.

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