Suture granuloma after orchiectomy: sonography, doppler and elastography features

Abstract

Suture granuloma is a mass forming benign lesion that develops at the site of surgery as a foreign body reaction to non-absorbable suture material. We present a case of suture granuloma that developed at the inguinal region after orchiectomy, and define the sonography, color Doppler sonography and real-time ultrasound elastography findings in correlation with the histopathological findings.

Intra-lingual suture pattern for prevention of self-suckling in cows

“…From histopathologic point of view, the use of silk suture material in the current study coincided with many researchers as the silk was ordinarily used because it was inexpensive, easily sterilized, provided stronger wound closure, and evoked minimal inflammatory cellular reaction with rare tendency of developing delayed inflammation ( Chung, Kim, Kim, Yun & Hong, 2006 ; Cutler & Dunphy, 1941 ; Kikuchi et al., 2012 ). Accordingly, minimal pathologic changes could be observed in the current study, like foreign body granuloma around the silk material without evidence of suppuration ( Chung et al., 2006 ; Ollivere, Bosman, Bearcroft & Robinson, 2014 ; Takahara et al., 2013 ), in addition to presence of degenerated macrophages and multinucleated phagocytic giant cells of histiocytic origin engulfing the sutured material, and they were encircled by a dense wall of fibrous connective tissue ( Secil, Mungan & Yorukoglu, 2015 ). This fibrous tunnel around the silk might prevent both of the tongue from cupping and self-suckling even after complete lysis of the silk.…”

Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report

“…Foreign biomaterials such as sutures, clips, sponge and gauze fragments may be introduced into a patient’s body during surgery. These foreign materials may cause varying degrees of local immune response with giant cell reaction and cause clinical manifestations such as adhesions, tumor masses, or, as in this case, lesions mimicking tumor metastases or recurrence at a previous operative site [ 2 – 10 ]. Suture granulomas most commonly develop in response to nonabsorbable materials such as silk remaining in the patient’s body [ 10 ].…”

“…These foreign materials may cause varying degrees of local immune response with giant cell reaction and cause clinical manifestations such as adhesions, tumor masses, or, as in this case, lesions mimicking tumor metastases or recurrence at a previous operative site [ 2 – 10 ]. Suture granulomas most commonly develop in response to nonabsorbable materials such as silk remaining in the patient’s body [ 10 ]. In the present case, a suture granuloma—caused by the silk thread used for vessel ligation or hand-sewn anastomosis—that mimicked colon carcinoma recurrence was identified.…”

Intra-abdominal suture granulomas masquerading as colon carcinoma: a case report

“…Amongst all the reactions, suture-related foreign body reaction also known as suture granuloma has drawn attention from every branch of medicine according to the pertinent world literature. [2][3][4][5][6][7][8][9][10][11] Both the suture materials i.e. absorbable or non-absorbable, can elicit such a reaction.…”

“…6,12 However, suture granuloma is formed more commonly due to non-absorbable suture material and can occur anywhere in the body. 2,7,13 It tends to develop in early post-operative period, nevertheless its occurrence even after several years following a surgery has been documented. 5,14 Abdominal cavity suture granuloma is a disadvantage following usually any abdominal surgery.…”