Silk suture granuloma after high orchiectomy


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详细

Suture granuloma is very rare complication of surgical procedures developing from the non-absorbable sutures. The development of suture granuloma is a chronic process and includes multinucleated giant cell formation. It has two step process including the initial reaction of tissue inflicted the passage of the needle and specific inflammatory reaction of the suture material. There is no pathognomonic imaging modality fort he diagnosis of suture granuloma. Surgery is used to for the diagnosis and eradication of the inflammation. A 59 year old man presented with 3*2 cm sized palpable, firm painless nodular mass in the right scrotum. The patient was treated with high orchiectomy before 3 weeks. The mass was excised and reported as silk suture granuloma.

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作者简介

S. Caliskan

Hitit Universtiy; Çorum Training and Research Hospital

Department of Urology Çorum, Turkey

R. Akdeniz

Hitit Universtiy; Çorum Training and Research Hospital

Department of Pathology Çorum, Turkey

M. Sungur

Hitit Universtiy; Çorum Training and Research Hospital

Department of Urology Çorum, Turkey

B. Eser

Hitit Universtiy; Çorum Training and Research Hospital

Department of Nephrology Çorum, Turkey

参考

  1. Segil M, Mungan U, Yorukoglu X.Suturgranulomaafterorchiectomy:sonography, doppler and elastography features. IBJU. 2015;41:813-816.
  2. Cansu GB, Taqkrran B, Bakar T, Cengiz BP. An unusual case in endocrinology practice: Suture granuloma. Endocrine Regulations. 2016;50:145-147.
  3. Luo J, Mao Y, Cai S, Shen X, Chen S,Xie L. Post-nephrectomy foreign body granuloma in the retroperitoneum mimicking lymph node metastasis of renal cell cancer. OncoTargets and Therapy. 2014;7:2137-2141.
  4. Yuksel M, Akgul AG, Evman S, Batirel HF. Suture granuloma and stapler granulomas: a word of caution. European Journal of Cardio-thoracic Surgery. 2007;31:563-565.
  5. Imperiela L, Marchetti C, Salerno L et al. Nonabsorbable suture granuloma mimicking ovarian cancer recurrence at combined positron emission tomography/computed tomography evaluations case report. Journal of Medical Case Reports. 2014;8:202-206.

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