Silent Intruders: Recurrent Suture Granuloma Unveiled in Caesarean Scar

• Published in: Journal of family & reproductive health Vol. 18; no. 3; pp. 197 - 199
• Main Authors: Sanap, Arun, Yadav, Anita, Choudhary, Amruta, Kamath, Anusha, Bhimgade, Prajakta, Patokar, Gauri, Moharana, Bishnupriya
• Format: Journal Article
• Language: English
• Published: Iran Tehran University of Medical Sciences 01-09-2024
• Subjects: Caesarean Scar; Case Report; Granuloma; Recurrence; Silent Intruders; Granuloma; Recurrence; Silent Intruders; Caesarean Scar
• ISSN: 1735-8949; 1735-9392
• DOI: 10.18502/jfrh.v18i3.16662

To describe the clinical and radio-pathological features of suture granuloma, an inflammatory response to retained suture material that primarily affects non-absorbable sutures.
We report a case of a 26-year-old female presenting with painful swelling at a caesarean section scar, previously excised for similar complaints. Physical examination revealed a solid soft tissue mass on the scar. Magnetic resonance imaging (MRI) identified a 2x2 cm lesion in the right abdominal wall, suggestive of suture granuloma. Surgical excision revealed prolene suture material within the granulomatous tissue. Histopathology confirmed foreign body reaction.
Recurrence post-prior excision underscores the importance of complete granuloma removal. Differential diagnoses included scar endometriosis and inflammatory lesions. Suture granulomas, though rare, require consideration in scar-related swelling. Collaboration between specialties ensures accurate diagnosis and management.