Silent Intruders: Recurrent Suture Granuloma Unveiled in Caesarean Scar

Objective: To describe the clinical and radio-pathological features of suture granuloma, an inflammatory response to retained suture material that primarily affects non-absorbable sutures. Case report: We report a case of a 26-year-old female presenting with painful swelling at a caesarean section s...

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Main Authors: Arun Sudhakar Sanap (Author), Anita Yadav (Author), Amruta Choudhary (Author), Anusha Kamath (Author), Prajakta Bhimgade (Author), Gauri Patokar (Author), Bishnupriya Moharana (Author)
Format: Book
Published: Tehran University of Medical Sciences, 2024-10-01T00:00:00Z.
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Summary:Objective: To describe the clinical and radio-pathological features of suture granuloma, an inflammatory response to retained suture material that primarily affects non-absorbable sutures. Case report: We report a case of a 26-year-old female presenting with painful swelling at a caesarean section scar, previously excised for similar complaints. Physical examination revealed a solid soft tissue mass on the scar. Magnetic resonance imaging (MRI) identified a 2x2 cm lesion in the right abdominal wall, suggestive of suture granuloma. Surgical excision revealed prolene suture material within the granulomatous tissue. Histopathology confirmed foreign body reaction. Conclusion: Recurrence post-prior excision underscores the importance of complete granuloma removal. Differential diagnoses included scar endometriosis and inflammatory lesions. Suture granulomas, though rare, require consideration in scar-related swelling. Collaboration between specialties ensures accurate diagnosis and management.
Item Description:10.18502/jfrh.v18i3.16662
1735-8949
1735-9392