Bilateral suture granuloma formation one year and a half after total thyroidectomy referred as tumor recurrence

Authors

  • Ali Bagherihagh Department of Otorhinolaryngology, Head and Neck Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
  • Ehsan Arjmandzadeh Department of Otorhinolaryngology, Head and Neck Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran

DOI:

https://doi.org/10.1234/jcoms.v2i1.27

Keywords:

Stitch abscess, Suture granuloma, Silk suture

Abstract

Introduction: Stitch abscess or suture granuloma is a rare complication defined as a benign granulomatous inflammatory lesion with an incidence rate of about 2 percent seen after various kinds of surgical procedures.

Case presentation: Here we present a 49 years old woman that presented with bilateral neck swelling and pain one year and a half after total thyroidectomy surgery misdiagnosed as tumor recurrence.

Discussion: Post-thyroidectomy suture reaction causing granulomatous lesions or abscess formation as seen in our case is even rarer with an incidence rate of 0.08% to 1.5%. Silk suture is the most common non-absorbable suture material that has been used in vascular ligation. Young adults, liver dysfunction and allergy history are predisposing factors for stitch abscess.

Conclusion: Development of suture granuloma should be considered when vascular ligation by silk suture is preferred especially in patients with predisposing factors.

Published

2022-03-31

How to Cite

Bagherihagh, A., & Arjmandzadeh , E. . (2022). Bilateral suture granuloma formation one year and a half after total thyroidectomy referred as tumor recurrence. Journal of Current Oncology and Medical Sciences, 2(1), 130–134. https://doi.org/10.1234/jcoms.v2i1.27

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