Suture granuloma

Case contributed by Dr Chris O'Donnell

Presentation

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
Modality: Ultrasound

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

Modality: CT

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
Case created: 3rd Sep 2014
Last edited: 14th Apr 2016
Inclusion in quiz mode: Included

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