Journal List > J Korean Soc Radiol > v.67(3) > 1087153

Lee, Lee, and Sung: Follow-Up CT Findings of Suture Granuloma in the Chest Wall: A Case Report

Abstract

Suture granuloma is a benign tumor defined by an inflammatory reaction and the formation of granuloma, which is caused by the reaction of a foreign body in regards to suture material after surgery. Recently, it has been reported as one of the rare complications following surgery, mainly in regards to non-absorbable sutures. The authors hereby report a case along with CT findings and literature review for suture granuloma in the chest wall after lung lobectomy for lung cancer in a 65-year-old woman.

Figures and Tables

Fig. 1
65-year-old woman with lung cancer in the left upper lobe and suture granuloma in the left lateral chest wall.
A. Preoperative chest CT scan shows a solitary pulmonary nodule in the left upper lobe (arrow). The lung nodule was pathologically confirmed to adenocarcinoma (T1N0M0).
B. Postoperative follow-up CT scan after 4 months reveals the focal low-attenuated intramuscular lesion with subtle enhancement in the left lateral chest wall (arrow).
C. Postoperative follow-up CT scan after 12 months shows that the intramuscular lesion in the serratus anterior muscle increases in size (arrow).
D. The photomicrograph of the histologic specimen shows the presence of multinuclear giant cells (arrows) with phagocytosis of suture materials (asterisks) [hematoxylin and eosin staining, × 400 (E)].
E. Postoperative follow-up CT scan after 24 months shows that the intramuscular lesion in the serratus anterior muscle decreases in size (arrow).
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References

1. Postlethwait RW, Willigan DA, Ulin AW. Human tissue reaction to sutures. Ann Surg. 1975. 181:144–150.
2. Rettenbacher T, Macheiner P, Hollerweger A, Gritzmann N, Weismann C, Todoroff B. Suture granulomas: sonography enables a correct preoperative diagnosis. Ultrasound Med Biol. 2001. 27:343–350.
3. Shin JH, Han BK, Ko EY, Kang SS. Sonographic findings in the surgical bed after thyroidectomy: comparison of recurrent tumors and nonrecurrent lesions. J Ultrasound Med. 2007. 26:1359–1366.
4. Fink G, Herskovitz P, Nili M, Hadar H, Rothem A, Spitzer SA. Suture granuloma simulating lung neoplasm occurring after segmentectomy. Thorax. 1993. 48:405–406.
5. Kumar V, Abbas AK, Fausto N. Kumar V, Abbas AK, Fausto N, editors. Acute and chronic inflammation. Robbins and Cotran pathologic basis of disease. 2005. Philadelphia: Elsevier Saunders;47–86.
6. Perou ML. Iatrogenic foreign body granulomas. A study of selected cases with the polarizing microscope. Int Surg. 1973. 58:676–682.
7. Nomiya T, Teruyama K, Yamada S, Takahashi S, Saito M. Unusual behavior of foreign body granuloma that grew rapidly in the radiation field during radiation therapy. Radiat Med. 2006. 24:525–528.
8. Luijendijk RW, de Lange DC, Wauters CC, Hop WC, Duron JJ, Pailler JL, et al. Foreign material in postoperative adhesions. Ann Surg. 1996. 223:242–248.
9. Carroll KM, Sairam K, Olliff SP, Wallace DM. Case report: paravesical suture granuloma resembling bladder carcinoma on CT scanning. Br J Radiol. 1996. 69:476–478.
10. Iwasaki T, Nakagawa K, Katsura H, Nakane S, Kawahara K, Fukuda H. Pulmonary suture abscess with false-positive 18F-fluorodeoxyglucose positron emission scan mimicking lung cancer recurrence. Jpn J Thorac Cardiovasc Surg. 2006. 54:351–355.
11. Ochsner JE, Sewall SA, Brooks GN, Agni R. Best cases from the AFIP: elastofibroma dorsi. Radiographics. 2006. 26:1873–1876.
12. Chung YE, Kim EK, Kim MJ, Yun M, Hong SW. Suture granuloma mimicking recurrent thyroid carcinoma on ultrasonography. Yonsei Med J. 2006. 47:748–751.
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