Presentation
Laparoscopic cholecystectomy 7 years ago. Now painful red mass in the umbilicus at the site of a laparoscopy port
Patient Data
Age: 60 years
Gender: Male
From the case:
Suture granuloma
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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.
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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).