Granuloma a cuerpo extraño, simulando una enfermedad maligna del tracto biliar

Uzcátegui-Paz, Estrella; González-Paredes, Gabriela

doi:10.1016/j.gastrohep.2008.09.004

Cited by 10 publications

(5 citation statements)

References 26 publications

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“…For example, suture granulomas have masqueraded as gastrointestinal stromal tumors, hepatic tumors, and head and neck tumors due to findings on fluorodeoxyglucose-positron emission tomography (FDG-PET) scans and biliary tumors on cholangioresonance imaging. [8][9][10][11] Pyogenic granulomas have also caused delayed wound breakdown, 1 case occurring 20 years after traumatic subdural hematoma repair, also attributed to silk sutures, 12 and another occurring 30 years after repair of an Achilles tendon rupture. 13 Although HR-OCT can often be helpful in guiding the diagnosis of conjunctival lesions, in this case, its main role was to guide the diagnosis away from OSSN.…”

Section: Discussionmentioning

confidence: 99%

Silk Suture Granuloma 37 Years After Scleral Buckle Surgery: A Case Report

Zein

Theotoka

Wall

et al. 2020

Cornea

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Purpose: To present a rare presentation of pyogenic granuloma arising almost 4 decades after a scleral buckle for retinal detachment. Method:We describe the clinical presentation, diagnostic workup, and management of a suspicious conjunctival lesion in an immunocompromised patient. We report the histopathological findings and the postoperative outcome.Results: A 58-year-old man with human immunodeficiency virus presented for evaluation of a possible malignant conjunctival lesion in the left eye. The patient reported that the lesion had appeared 1.5 months before presentation with significant growth over the past month. The patient denied any trauma to the eye other than an ocular history of retinal detachment repair with scleral buckle 37 years earlier. Clinical examination revealed a pink, fleshy, mobile, and lobulated conjunctival lesion measuring 7 mm by 10 mm, emanating from the superior-nasal bulbar quadrant. A high-resolution optical coherence tomography revealed highly cellular infiltrate and hyperreflective mass with significant posterior shadowing. Further exploration of the lesion revealed a white, stringy, cauliflower-like material on the underside of the lesion. Surgical excision and pathology subsequently confirmed a diagnosis of pyogenic granuloma with remnants of silk suture.Conclusions: A diagnosis of pyogenic granuloma secondary to retained silk sutures should be considered in patients with a history of intraocular surgery irrespective of other risk factors and length of time since procedure.

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Section: Discussionmentioning

confidence: 99%

Silk Suture Granuloma 37 Years After Scleral Buckle Surgery: A Case Report

Zein

Theotoka

Wall

et al. 2020

Cornea

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“…These tumors occur postoperatively after an undetermined free period, which can range from months to years. In abdominal surgery it has been described after appendectomy, 3,5,6,9,10,14,18,22 hernioplasty, 2–4,7,21 hysterectomy, 3,7,23 oophorectomy, 16 gastrectomy, 3 cholecystectomy, 19,22 biliary surgery 20 or colonic resections. 11,12 …”

Section: Discussionmentioning

confidence: 99%

Schloffer's tumor: Case report and review of the literature

Yazyi

Canullán

Baglietto

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONThe so-called Schloffer tumor (ST) is a rare inflammatory pseudotumor. It usually appears several years after abdominal surgery or trauma.PRESENTATION OF CASEA 32-year-old man was referred to our hospital complaining of a painful mass in the left hypochondrium, postprandial distension and a weight loss of about 14 kg. He had had a left inguinal hernioplasty without mesh the previous year. Ultrasonography of the abdomen showed a 2 cm × 2 cm hypoechoic lesion in contact with the abdominal wall. Computerized tomography of the abdomen showed a heterogeneous mass in the great omentum.Laparoscopic exploration revealed an omental mass firmly attached to the abdominal wall. A great deal of purulent fluid spread during the procedure. Due to the difficult exploration, the procedure converted to hand assisted laparoscopy. We find an omental tumor involving the stomach and the transverse colon. Inside the mass there were purulent material and non-absorbable sutures. A drain was left inside the cavity of the abscess. Histological examination showed chronic inflammation.DISCUSSIONST characteristically presents a central chronic abscess containing non-absorbable sutures. It has been described after appendectomy, hernioplasty, hysterectomy, gastrectomy or colonic resections. Although benign, its progressive growth and infiltrating behavior resemble malignant tumors.CONCLUSIONWe suggest that a mini-invasive approach should always be performed. The interesting thing about this case is the appearance of the tumor in a place far away from the previous surgical site. A simple drainage and removal of suture material solves the problem of these patients.

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“…Sporadic reports have been published due to parasites, fish bones, fragments of T tubes or other rubber objects, shrapnel, metal clips, migrated stents, surgical gauze and non-absorbable suture material, which serve as a nucleus for formation of stones or molds in the bile duct. 1 , 2 , 3 , 4 , 5…”

Section: Introductionmentioning

confidence: 99%

“…The previous reported cases with impacted surgical gauze in CBD had classical presentation of obstructive jaundice with radiological inconclusive investigations mimicking a common bile duct stone or malignant disease of the CBD. 2 , 3 , 4 …”

Section: Introductionmentioning

confidence: 99%