Abstract
The authors report a case of a mesenteric suture granuloma in a 12 year-old-girl who had a small bowel resection for a complicated intussusception at
the age of 5 months. At later exploration a whitish round tumor located on the anti-mesenteric
side of the intestine was found. Several small intestinal loops also abutted on the
tumor. Pathologic examination showed fibrosis and a granuloma containing linear colored
braided suture material with multinucleated giant cell. As mesenteric suture granulomas
have a complex appearance and mimic a soft tissue tumor during imaging, it is important
for a surgeon to know about this condition and to consider the history of previous
surgery when evaluating the images of patients presenting with an abdominal or pelvic
mass. Suture granulomas separate from previous suture sites have not been described
in the literature.
Key words
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Article info
Publication history
Accepted:
October 23,
2012
Received in revised form:
October 20,
2012
Received:
July 12,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.