Abstract
In the present era of modern surgical practice, the incidence of intra-abdominal suture granuloma is extremely rare with reduced use of non-absorbable silk sutures and even rarer following laparoscopic procedures. We report herein a case of silk granuloma presenting as large submucosal polypoidal lesion in a recently operated case of gastrointestinal stromal tumor (GIST) of stomach. Though endoscopic biopsy showed chronic non-specific gastritis with no evidence of malignancy, our patient underwent excision of lesion due to high likelihood of neoplastic lesion suggested by radiological evaluation and recent history of surgery for GIST but histopathology surprisingly showed Giant cell silk granuloma. In summary, the possibility of suture granulomas should always be considered while evaluating postoperative CT scan/PET scan for a mass lesion at operated site, particularly in patients who have undergone surgery with non-absorbable silk sutures.
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References
Lo Cicero J, Robbins JA, Webb WR (1983) Complications following abdominal fascial closures using various nonabsorbable sutures. Surg Gynecol Obstet 157:25–27
Nagar H (1993) Stitch granulomas following inguinal herniotomy: a 10-year review. J Pediatr Surg 28:1505–1507
Iwase K, Higaki J, Tanaka Y, Kondoh H, Yoshikawa M, Kamiike W (1999) Running closure of clean and contaminated abdominal wounds using a synthetic monofilament absorbable looped suture. Surg Today 29:874–879
Imamoglu M, Cay A, Sarihan H, Ahmetoglu A, Ozdemir O (2004) Paravesical abscess as an unusual late complication of inguinal hernia repair in children. J Urol 171:1268–1270
Belleza NA et al (1978) Suture granuloma of stomach following total colectomy. Radiology 127:84
Sanders I, Woesner ME et al (1972) ‘stitch’ granuloma: a consideration in the differential diagnosis of intramural gastric tumor. Am J Gastroenterol 57(6):558–562
Kim SW, Shin HC, Kim IY, Baek MJ, Cho HD (2009) Foreign body granulomas simulating recurrent tumors in patients following colorectal surgery for carcinoma: a report of two cases. Korean J Radiol 10:313–318
Yu¨ksel M, Akgu¨l AG, Evman S, Batirel HF (2007) Suture and stapler granulomas: a word of caution. Eur J Cardiothorac Surg 31:563–5
Chung YE, Kim EK, Kim MJ, Yun M, Hong SW (2006) Suture granuloma mimicking recurrent thyroid carcinoma on ultrasonography. Yonsei Med J 47:748–751
Lim JW, Tang CL, Keng GH (2005) False positive F-18 fluorodeoxyglucose combined PET/CT scans from suture granuloma and chronic inflammation: report of two cases and review of literature. Ann Acad Med Singapore 34:457–460
Kim SW, Shin HC, Kim IY, Baek MJ, Cho HD (2009) Foreign body granulomas simulating recurrent tumors in patients following colorectal surgery for carcinoma: a report of two cases. Korean J Radiol 10:313–318
Chen MY, Ng KK, Ma SY, Wu TI, Chang TC, Lai CH (2005) False positive fluorine-18 fluorodeoxy-d-glucose positron emission tomography imaging caused by retained gauze in a woman with recurrent ovarian cancer: a case report. Eur J Gynaecol Oncol 26:451–453
Nakajo M, Jinnouchi S, Tateno R, Nakajo M (2006) 18F-FDG PET/CT findings of a right subphrenic foreign-body granuloma. Ann Nucl Med 20:553–556
Pidhorecky I, Cheney RT, Kraybill WG et al (2000) Gastrointestinal stromal tumors: current diagnosis, biologic behavior, and management. Ann Surg Oncol 7:705
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Singh, S.K., Kannan, N., Talwar, R. et al. Suture granuloma: a rare differential diagnosis of residual/recurrent gastrointestinal stromal tumor of stomach. Int Canc Conf J 5, 5–8 (2016). https://doi.org/10.1007/s13691-015-0216-8
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DOI: https://doi.org/10.1007/s13691-015-0216-8