Chronic granulomatous lesion can mimic surgical wound inflammations, abscesses, ganglion cysts, lipomas or neoplastic lesions. We report a case of a patient with a recurrent chronic granuloma (1 × 1 cm 2) of the right cheek that was refractory to conservative measures. On radiologic examination, a 5 cm linear radioopaque material was detected. The patient underwent explorative surgery and a silastic drain was found that was not removed ten years ago after reduction of a zygomatic fracture. A unique case of a misplaced silastic drain that was put 10-year ago, presenting itself as a chronic granulomatous lesion is reported.