Suture granuloma

Case contributed by Dr Chris O'Donnell


Laparoscopic cholecystectomy 7 years ago. Now painful red mass in the umbilicus at the site of a laparoscopy port

Patient Data

Age: 60
Gender: Male

Small solid mass with subtle increase in blood flow in the umbilicus with central linear echogenic material consistent with a foreign body, e.g. suture material.


CT scan for further assessment of depth of involvement and presence of associated hernia

Small soft tissue mass in the umbilicus without deeper extent in the abdominal cavity. Suture material not seen as a dense foreign body.

Case Discussion

These granulomas are a reaction to foreign material and, perhaps surprisingly, can present many years after the surgical procedure. Treatment is by excision of the granuloma and associated foreign body (suture).

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Case information

rID: 30775
Published: 3rd Sep 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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