Omental Mass Caused by Pericolic Vegetable Granuloma: A Rare Case Report

Geramizadeh, Bita; Mousavi, Seyed Javad; Bananzadeh, Alimohammad

doi:10.17795/acr-20233

Cited by 4 publications

(11 citation statements)

References 7 publications

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“…However, after all, the final diagnosis was pulse granuloma. Similar to previously reported cases of abdominal pulse granuloma (Table ), a definitive diagnosis could not be made preoperatively. This suggested that pulse granuloma should also be taken into consideration as a differential diagnosis of ovarian cancer or tuberculous peritonitis.…”

Section: Discussionsupporting

confidence: 67%

“…The recurrence of intra‐abdominal pulse granuloma has not been previously reported . However, our report suggests that pulse granuloma relapses or that a residual lesion becomes symptomatic.…”

Section: Discussionmentioning

confidence: 41%

“…However, judging from her history of recurrent upper abdominal pain, it is possible that a stomach or a colon was asymptomatically perforated. Some case reports have revealed that omental mass consist of pulse granuloma attached to the stomach, suggesting that a gastric ulcer with small perforations caused passage of food particles to the omental space …”

Section: Discussionmentioning

confidence: 99%

“…Because pulse granuloma is a benign condition, it does not require any specific treatment if asymptomatic. However, it may cause a fistula or mimic a neoplasm; thus, surgery is required to confirm the diagnosis or to relieve symptoms . Considering that intra‐abdominal pulse granuloma can recur, the resection of all the lesions suspected of pulse granuloma might be reasonable.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, most pulse granulomas have been reported as oral lesions . Although an extraoral pulse granuloma is rare, several cases have been reported in the lungs and the abdominal cavity . However, it has not been previously reported in the pelvis.…”

Section: Introductionmentioning

confidence: 99%

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Pulse granuloma presenting as a complex pelvic cyst

Maeda

Uematsu

Matsubayashi

et al. 2019

J of Obstet and Gynaecol

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Pulse granuloma, a benign granulomatous lesion, develops due to foreign body reactions to food particles. This rare entity occurs occasionally in the abdominal cavity. However, it has never been reported as a pelvic mass or a recurrent case. A 37-year-old woman with a medical history of pelvic granulomatous lesions treated in Thailand, was admitted for abdominal pain. Imaging study revealed a pelvic complex cyst and disseminated nodules. Ovarian cancer or tuberculous peritonitis was suspected. The appearance at laparotomy was an inflammatory mass encased in adhesions; therefore, only biopsy was performed. The pathology diagnosis was pulse granuloma. The pathology report from Thailand was obtained only after her discharge, suggesting that the previous granulomatous lesion contained vegetable matter. This report demonstrates that pulse granuloma can present as a pelvic mass and may relapse. For complex cystic lesions with solid components in the pelvis, pulse granuloma should be considered as a differential diagnosis.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pulse granuloma presenting as a complex pelvic cyst

Maeda

Uematsu

Matsubayashi

et al. 2019

J of Obstet and Gynaecol

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Disseminated hyaline ring granuloma in the omentum of a dog

et al. 2017

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BackgroundHyaline ring granuloma (HRG) is an uncommon histopathologic finding of unsolved etiopathogenesis. According to the exogenous theory, HRG develops due to implantation of foreign material, most probably indigestible plant fragments. HRG is a comparatively rare condition in humans, mostly involving the oral cavity with very rare extraoral locations.Case presentationAn 1-year-old mixed-breed dog in good condition was presented for routine ovariohysterectomy. Disseminated HGR were accidentally found in the omental adipose tissue during surgery. Histopathology revealed the presence of ring-like hyaline structures surrounded by granulomatous inflammation including foreign body-type multinucleated giant cells. The histochemical examinations indicated the exogenous plant origin of the foreign material.ConclusionsThe lesions were similar to the findings in humans with HRG. The definitive diagnosis remains largely based on histopathological examination supported by special histochemical stains. To the best of our knowledge, this is the first case of hyaline ring granuloma reported in a non-human species. Moreover, the omentum is an uncommon location for this condition.

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Pulse granuloma: a rare condition mimicking a gastric tumor

Fabro

Sales

et al. 2016

Radiol Bras

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Omental Mass Caused by Pericolic Vegetable Granuloma: A Rare Case Report

Cited by 4 publications

References 7 publications

Pulse granuloma presenting as a complex pelvic cyst

Pulse granuloma presenting as a complex pelvic cyst

Disseminated hyaline ring granuloma in the omentum of a dog

Pulse granuloma: a rare condition mimicking a gastric tumor

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