{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T13:12:58Z","timestamp":1777122778540,"version":"3.51.4"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventions. The case presented herein demonstrates how a foreign body granuloma can be misleading in preoperative radiological studies and why this condition should not be ignored in differential diagnoses during surveillance of patients with previous history of abdominal surgery of any kind.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report a case of suture granuloma mistaken for recurrent colon cancer, including the clinical history, imaging data, and histopathological photographs. A 60-year-old man was followed up at our institution after open right hemicolectomy 2\u00a0years earlier for ascending colon carcinoma. Contrast-enhanced computed tomography and magnetic resonance imaging revealed an infiltrative heterogeneous soft tissue lesion at the right mesenteric root, adjacent to the ileocolic anastomosis. Local recurrence was therefore suspected. We performed exploratory laparotomy, excised the tumor, and sent it for histopathological examination, which confirmed suture granuloma.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Foreign body granuloma is a rare surgery-related complication that should be considered during surveillance following colectomy. Its radiological features may mimic recurrent lesions, thus misleading clinicians and causing unnecessary interventions or further complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01251-2","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T11:03:25Z","timestamp":1626260605000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8037-4074","authenticated-orcid":false,"given":"Shih-Feng","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia-Ling","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Hung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"1251_CR1","doi-asserted-by":"publisher","unstructured":"Steele SR, Chang GJ, Hendren S, Weiser M, Irani J, Buie WD, Rafferty JF, Clinical Practice Guidelines Committee of the American Society of C, Rectal S (2015) Practice guideline for the surveillance of patients after curative treatment of colon and rectal cancer. Dis Colon Rectum 58 (8):713\u2013725. Doi:https:\/\/doi.org\/10.1097\/DCR.0000000000000410","DOI":"10.1097\/DCR.0000000000000410"},{"key":"1251_CR2","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s13000-015-0291-3","volume":"10","author":"Y Nihon-Yanagi","year":"2015","unstructured":"Nihon-Yanagi Y, Ishiwatari T, Otsuka Y, Okubo Y, Tochigi N, Wakayama M, Nemoto T, Watanabe M, Kaneko H, Sumino Y, Shibuya K. A case of postoperative hepatic granuloma presumptively caused by surgical staples\/clipping materials. Diagn Pathol. 2015;10:90. https:\/\/doi.org\/10.1186\/s13000-015-0291-3.","journal-title":"Diagn Pathol"},{"issue":"932","key":"1251_CR3","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1259\/bjr\/65834078","volume":"78","author":"A Poyanli","year":"2005","unstructured":"Poyanli A, Bilge O, Kapran Y, Guven K. Case report: Foreign body granuloma mimicking liver metastasis. Br J Radiol. 2005;78(932):752\u20134. https:\/\/doi.org\/10.1259\/bjr\/65834078.","journal-title":"Br J Radiol"},{"key":"1251_CR4","doi-asserted-by":"publisher","DOI":"10.15406\/acp.2018.03.00061","author":"S Sharma","year":"2018","unstructured":"Sharma S. Intra-abdominal suture granulomas masquerading as colon carcinoma: a case report. Adv Cytol Pathol. 2018. https:\/\/doi.org\/10.15406\/acp.2018.03.00061.","journal-title":"Adv Cytol Pathol"},{"key":"1251_CR5","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/472642","volume":"2013","author":"K Takahara","year":"2013","unstructured":"Takahara K, Kakinoki H, Ikoma S, Udo K, Tobu S, Satoh Y, Tokuda Y, Noguchi M, Aoki S, Uozumi J. Suture granuloma showing false-positive findings on FDG-PET. Case Rep Urol. 2013;2013: 472642. https:\/\/doi.org\/10.1155\/2013\/472642.","journal-title":"Case Rep Urol"},{"issue":"1","key":"1251_CR6","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1186\/s40792-019-0677-7","volume":"5","author":"E Asano","year":"2019","unstructured":"Asano E, Furuichi Y, Kumamoto K, Uemura J, Kishino T, Usuki H, et al. A case of Schloffer tumor with rapid growth and FDG-PET positivity at the port site of laparoscopic sigmoidectomy for colon cancer. Surg Case Rep. 2019;5(1):116.","journal-title":"Surg Case Rep"},{"key":"1251_CR7","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.ijscr.2016.09.002","volume":"28","author":"S Matsuura","year":"2016","unstructured":"Matsuura S, Sasaki K, Kawasaki H, Abe H, Nagai H, Yoshimi F. Silk suture granuloma with false-positive findings on PET\/CT accompanied by peritoneal metastasis after colon cancer surgery. Int J Surg Case Rep. 2016;28:22\u20135.","journal-title":"Int J Surg Case Rep"},{"issue":"2","key":"1251_CR8","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.smim.2007.11.004","volume":"20","author":"JM Anderson","year":"2008","unstructured":"Anderson JM, Rodriguez A, Chang DT. Foreign body reaction to biomaterials. Semin Immunol. 2008;20(2):86\u2013100. https:\/\/doi.org\/10.1016\/j.smim.2007.11.004.","journal-title":"Semin Immunol"},{"issue":"3","key":"1251_CR9","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1097\/00000658-199603000-00003","volume":"223","author":"RW Luijendijk","year":"1996","unstructured":"Luijendijk RW, de Lange DCD, Wauters CCAP, Hop WCJ, Duron JJ, Pailler JL, Camprodon BR, Holmdahl L, van Geldorp HJ, Jeekel J. Foreign material in postoperative adhesions. 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Ileal iterative spontaneous perforation from foreign body granuloma: problems of histopathologic diagnosis. 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Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The participant has consented to the submission of the case report to the journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There are no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"164"}}