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Suture granuloma of the abdominal wall with intra-abdominal extension 12 years after open appendectomy

查看全文 作　　者：Goran [1]Augustin;Dragan [1]Korolija;Mate [1]Skegro;Jasminka Jakic-[2]Razumovic 高影响力作者 机构地区：[1]Department of Surgery,Division of Abdominal Surgery,University Hospital Center Zagreb,Kipatieva 12,10000 Zagreb,Croatia;[2]Department of Pathology,University Hospital Center Zagreb, Kipatieva 12,10000 Zagreb,Croatia高影响力机构 出　　处：《World Journal of Gastroenterology》索引2009年第15卷第32期,共4页高影响力期刊 摘　　要：Most complications after appendectomy occur within ten days; however, we report the unusual case of a suture granuloma 12 years after open appendectomy. The afebrile 75-year-old woman presented with a slightly painful palpable mass in the right lower abdomen. There was no nausea or vomiting and bowel movements were normal. She lost 10 kg during the 3 mo before presentation. The patient had undergone an appendectomy 12 years previously. Physical examination revealed a tender mass, 10 cm in diameter, under the appendectomy scar. The preoperative laboratory findings, tumor markers and plain abdominal radiographs were normal. Multi-slice computed tomography scanning showed an inhomo-genous abdominal mass with minimal vascularization in the right lower abdomen 8.6cm×8cm×9 cm in size which communicated with the abdominal wall. The abdominal wall was thickened, weak and bulging. The abdominal wall mass did not communicate with the cecum or the ascending colon. Complete excision of the abdominal wall mass was performed via median laparotomy. Histopathological examination revealed a granuloma with a central abscess. This case report demonstrates that a preoperative diagnosis of abdominal wall mass after open appendectomy warrants the use of a wide spectrum of diagnostic modalities and consequently different treatment options. 关 键 词：肉芽肿 缝合 组织病理学检查 腹腔 诊断方法 实验室检查 肿瘤标志物 身体检查
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