Suture granuloma masquerading as primary ovarian malignancy: a case report
Keywords:Malignancy, Ovary, Suture granuloma
Suture granuloma is an uncommon surgical complication comprising of foreign body granulomatous tissue reaction against the suture material. We present a case of ovarian suture granulomas in a 28-year-old female who was clinico-radiologically misdiagnosed as ovarian carcinoma. She presented with intermittent pelvic pain, on and off low-grade fever and menstrual irregularities for 6 months and had undergone laparoscopic tubectomy two years back. Ultrasonographic findings were suspicious of left ovarian malignancy. CA-125 levels were elevated (115 U/mL). Left oophoro-salpingectomy was performed and histopathological examination revealed multiple suture-related granulomas.
Sharma S, Kalyan S. Intra-abdominal suture granulomas masquerading as colon carcinoma: a case report. Adv Cytol Pathol. 2018;3(4):98-101.
McCluggage WG, Allen DC. Ovarian granulomas: a report of 32 cases. J Clin Pathol. 1997;50:324-7.
Eldridge PR, Wheeler MH. Stitch granulomata after thyroid surgery. Br J Surg. 1987;74:62.
Takeshita N, Tohma T, Miyauchi H, Suzuki K, Nishimori T, Ohira G, et al. Suture granuloma with false-positive findings on FDG-PET/CT resected via laparoscopic surgery. Int Surg. 2015;100:604-7.
De Sousa Leão G, Mororó GT, De Carvalho AMC, Normando SRC, Vieira SC. FDG-PET/CT-positive foreign body granuloma mimicking colon cancer recurrence: case report. J Neoplasm. 2017;2(3):15.
Martínez-Martínez A, García-Espinosa J. Non-absorbable suture granuloma mimicking a retroperitoneal metastatic implant in a patient with sigmoid neoplasm. Rev Esp Enferm Dig. 2016;108(9):579-80.
Chung YE, Kim EK, Kim MJ, Yun M, Hong SW. Suture granuloma mimicking recurrent thyroid carcinoma on ultrasonography. Yonsei Med J. 2006;47(5):748-51.
Imperiale L, Marchetti C, Salerno L, Iadarola R, Bracchi C, Vertechy L, et al. Nonabsorbable suture granuloma mimicking ovarian cancer recurrence at combined positron emission tomography/computed tomography evaluation: a case report. J Med Case Reports. 2014;8:202.
Rettenbacher T, Macheiner P, Hollerweger A, Gritzmann N, Weismann C, Todoroff B. Suture granulomas: sonography enables a correct preoperative diagnosis. Ultrasound Med Biol. 2001;27:343-50.
Titton RL, Gervais DA, Boland GW, Maher MM, Mueller PR. Sonography and sonographically guided fine-needle aspiration biopsy of the thyroid gland: indications and techniques, pearls and pitfalls. AJR Am J Roentgenol 2003;181:267-71.