Silent Intruders: Recurrent Suture Granuloma Unveiled in Caesarean Scar.

Journal of Family and Reproductive Health Pub Date : 2024-09-01 DOI:10.18502/jfrh.v18i3.16662

Arun Sanap, Anita Yadav, Amruta Choudhary, Anusha Kamath, Prajakta Bhimgade, Gauri Patokar, Bishnupriya Moharana

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Abstract

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.

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无声的入侵者：剖腹产疤痕中的复发性缝合肉芽肿。

目的：描述缝合肉芽肿的临床和放射病理学特征：描述缝合肉芽肿的临床和放射病理学特征，缝合肉芽肿是对残留缝合材料的一种炎症反应，主要影响非吸收缝合线：我们报告了一例 26 岁女性的病例，她因剖腹产疤痕处肿胀疼痛而就诊，该疤痕曾因类似主诉而被切除。体格检查发现疤痕处有一个实性软组织肿块。磁共振成像（MRI）发现右腹壁有一个 2x2 厘米的病变，提示为缝线肉芽肿。手术切除后发现肉芽肿组织内有普洛林缝合材料。组织病理学证实为异物反应：结论：先前切除术后的复发强调了彻底切除肉芽肿的重要性。鉴别诊断包括疤痕子宫内膜异位症和炎性病变。缝线肉芽肿虽然罕见，但需要考虑与疤痕相关的肿胀。各专科间的合作可确保诊断和治疗的准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Family and Reproductive Health

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0.00%

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审稿时长

5 weeks

期刊介绍： The Journal of Family & Reproductive Health (JFRH) is the quarterly official journal of Vali–e–Asr Reproductive Health Research Center. This journal features fulllength, peerreviewed papers reporting original research, clinical case histories, review articles, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology including genetics, endocrinology, andrology, embryology, gynecologic urology, fetomaternal medicine, oncology, infectious disease, public health, nutrition, surgery, menopause, family planning, infertility, psychiatry–psychology, demographic modeling, perinatalogy–neonatolgy ethics and social issues, and pharmacotherapy. A high scientific and editorial standard is maintained throughout the journal along with a regular rate of publication. All published articles will become the property of the JFRH. The editor and publisher accept no responsibility for the statements expressed by the authors here in. Also they do not guarantee, warrant or endorse any product or service advertised in the journal.