Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report
Abstract Background Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventions. The case presented herein demonstrates how a foreign body granuloma...
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Japan Surgical Society
2021-07-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01251-2 |
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| author | Shih-Feng Huang Chia-Ling Chiang Ming-Hung Lee |
| author_facet | Shih-Feng Huang Chia-Ling Chiang Ming-Hung Lee |
| author_sort | Shih-Feng Huang |
| collection | DOAJ |
| description | Abstract Background Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventions. The case presented herein demonstrates how a foreign body granuloma can be misleading in preoperative radiological studies and why this condition should not be ignored in differential diagnoses during surveillance of patients with previous history of abdominal surgery of any kind. Case presentation We report a case of suture granuloma mistaken for recurrent colon cancer, including the clinical history, imaging data, and histopathological photographs. A 60-year-old man was followed up at our institution after open right hemicolectomy 2 years earlier for ascending colon carcinoma. Contrast-enhanced computed tomography and magnetic resonance imaging revealed an infiltrative heterogeneous soft tissue lesion at the right mesenteric root, adjacent to the ileocolic anastomosis. Local recurrence was therefore suspected. We performed exploratory laparotomy, excised the tumor, and sent it for histopathological examination, which confirmed suture granuloma. Conclusions Foreign body granuloma is a rare surgery-related complication that should be considered during surveillance following colectomy. Its radiological features may mimic recurrent lesions, thus misleading clinicians and causing unnecessary interventions or further complications. |
| format | Article |
| id | doaj-art-c0d73cc4d87f4e4fb48c69a380a17d33 |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-c0d73cc4d87f4e4fb48c69a380a17d332025-08-02T18:30:15ZengJapan Surgical SocietySurgical Case Reports2198-77932021-07-01711510.1186/s40792-021-01251-2Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case reportShih-Feng Huang0Chia-Ling Chiang1Ming-Hung Lee2Department of Surgery, Kaohsiung Veterans General HospitalDepartment of Radiology, Kaohsiung Veterans General HospitalDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Veterans General HospitalAbstract Background Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventions. The case presented herein demonstrates how a foreign body granuloma can be misleading in preoperative radiological studies and why this condition should not be ignored in differential diagnoses during surveillance of patients with previous history of abdominal surgery of any kind. Case presentation We report a case of suture granuloma mistaken for recurrent colon cancer, including the clinical history, imaging data, and histopathological photographs. A 60-year-old man was followed up at our institution after open right hemicolectomy 2 years earlier for ascending colon carcinoma. Contrast-enhanced computed tomography and magnetic resonance imaging revealed an infiltrative heterogeneous soft tissue lesion at the right mesenteric root, adjacent to the ileocolic anastomosis. Local recurrence was therefore suspected. We performed exploratory laparotomy, excised the tumor, and sent it for histopathological examination, which confirmed suture granuloma. Conclusions Foreign body granuloma is a rare surgery-related complication that should be considered during surveillance following colectomy. Its radiological features may mimic recurrent lesions, thus misleading clinicians and causing unnecessary interventions or further complications.https://doi.org/10.1186/s40792-021-01251-2Suture granulomasColon cancerPostoperative surveillanceRecurrenceRight hemicolectomy |
| spellingShingle | Shih-Feng Huang Chia-Ling Chiang Ming-Hung Lee Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report Surgical Case Reports Suture granulomas Colon cancer Postoperative surveillance Recurrence Right hemicolectomy |
| title | Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report |
| title_full | Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report |
| title_fullStr | Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report |
| title_full_unstemmed | Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report |
| title_short | Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report |
| title_sort | suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy a case report |
| topic | Suture granulomas Colon cancer Postoperative surveillance Recurrence Right hemicolectomy |
| url | https://doi.org/10.1186/s40792-021-01251-2 |
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