{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:25:59Z","timestamp":1783632359269,"version":"3.55.0"},"reference-count":16,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,1,30]]},"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p>We present a unique case of a positron emission tomography (PET)-positive suture granuloma deep to an appendicectomy abdominal wall scar from 56 years prior in a patient with treated lymphoma. The lesion was first detected 8 years ago on a PET scan for new diagnosis of follicular lymphoma, with stable appearances 6 and 7 years later at follow-up. Ultrasound-guided biopsy and flow cytometry of the specimen could not exclude an untreated or recurrent lymphoma; thus, the patient underwent resection of the right iliac fossa abdominal wall lesion. Histopathology results noted granulomatous inflammation surrounding foreign material. The patient had an uneventful postoperative recovery and was discharged from surgical services. In this paper, we review the current literature and discuss the dilemma involved in the diagnosis and management of suture granulomas.<\/jats:p>","DOI":"10.1136\/bcr-2022-254413","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T12:12:28Z","timestamp":1675771948000},"page":"e254413","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["PET-positive suture granuloma of abdominal wall 56 years post-appendicectomy mimicking recurrence of lymphoma"],"prefix":"10.1136","volume":"16","author":[{"given":"Aubrey","family":"Gaylard","sequence":"first","affiliation":[{"name":"Surgery, Northern Hospital Health Sciences Library, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin Yi","family":"Goai","sequence":"additional","affiliation":[{"name":"Surgery, Northern Hospital Health Sciences Library, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Du Guesclin","sequence":"additional","affiliation":[{"name":"Pathology, Alfred Hospital, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4772-516X","authenticated-orcid":false,"given":"Russell","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Surgery, Northern Hospital Health Sciences Library, Epping, Victoria, Australia"},{"name":"Surgery, University of Melbourne, Epping, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"2025082707404353000_16.2.e254413.1","doi-asserted-by":"crossref","first-page":"604","DOI":"10.9738\/INTSURG-D-14-00140.1","article-title":"Suture granuloma with false-positive findings on FDG-PET\/CT resected via laparoscopic surgery","volume":"100","author":"Takeshita","year":"2015","journal-title":"Int Surg"},{"key":"2025082707404353000_16.2.e254413.2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.ijscr.2018.07.021","article-title":"Suture granulomas developing after the treatment of oral squamous cell carcinoma","volume":"50","author":"Yoshioka","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082707404353000_16.2.e254413.3","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1136\/bcr-2020-237661","article-title":"Foreign body episcleral suture granulomas mimicking nodular anterior scleritis","volume":"13","author":"Khoo","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082707404353000_16.2.e254413.4","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1097\/ICO.0000000000002637","article-title":"Silk suture granuloma 37 years after scleral buckle surgery: a case report","volume":"40","author":"Zein","year":"2021","journal-title":"Cornea"},{"key":"2025082707404353000_16.2.e254413.5","doi-asserted-by":"crossref","DOI":"10.1111\/and.13256","article-title":"Rare complication of varicocelectomy: suture granuloma","volume":"51","author":"Eryilmaz","year":"2019","journal-title":"Andrologia"},{"key":"2025082707404353000_16.2.e254413.6","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.4083"},{"key":"2025082707404353000_16.2.e254413.7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jemermed.2021.07.026","article-title":"Suture granuloma diagnosed and treated with bedside ultrasound","volume":"62","author":"Jackson","year":"2022","journal-title":"J Emerg Med"},{"key":"2025082707404353000_16.2.e254413.8","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.anl.2011.04.012","article-title":"Suture granuloma showing false-positive finding on PET\/CT after head and neck cancer surgery","volume":"39","author":"Kikuchi","year":"2012","journal-title":"Auris Nasus Larynx"},{"key":"2025082707404353000_16.2.e254413.9","doi-asserted-by":"crossref","first-page":"E399","DOI":"10.1111\/ans.16425","article-title":"Rare case of barbed suture-induced oesophageal granuloma","volume":"91","author":"Aiolfi","year":"2021","journal-title":"ANZ J Surg"},{"key":"2025082707404353000_16.2.e254413.10","doi-asserted-by":"crossref","unstructured":"Blasco A , Baixauli E . Granuloma formation associated with patellar tendon necrosis in response to ethibond confirmed by histopathological examination. BMJ Case Rep 2018;2018. doi:10.1136\/bcr-2017-222854","DOI":"10.1136\/bcr-2017-222854"},{"key":"2025082707404353000_16.2.e254413.11","doi-asserted-by":"crossref","DOI":"10.1186\/s40792-021-01303-7","article-title":"Suture granuloma with hydronephrosis caused by ileostomy closure after rectal cancer surgery: a case report","volume":"7","author":"Takano","year":"2021","journal-title":"Surg Case Rep"},{"key":"2025082707404353000_16.2.e254413.12","doi-asserted-by":"crossref","DOI":"10.1186\/s13019-020-1055-z","article-title":"Two cases of granuloma mimicking local recurrence after pulmonary segmentectomy","volume":"15","author":"Okazaki","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"2025082707404353000_16.2.e254413.13","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-189407000-00004"},{"key":"2025082707404353000_16.2.e254413.14","unstructured":"Devine H . Stitch in time: 18 fascinating facts about the history of sutures. secondary stitch in time: 18 fascinating facts about the history of sutures 2016. n.d. 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