{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T13:12:57Z","timestamp":1777122777893,"version":"3.51.4"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T00:00:00Z","timestamp":1631923200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T00:00:00Z","timestamp":1631923200000},"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>Suture granuloma with hydronephrosis after abdominal surgery is extremely rare. We herein report a successfully treated case of suture granuloma with hydronephrosis caused by ileostomy closure after rectal cancer surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 63-year-old male underwent laparoscopic low anterior resection with covering ileostomy. Two months after primary operation, ileostomy closure was performed with two layered hand-sewn suture (Albert\u2013Lembert method) using absorbable suture. In that operation, marginal blood vessels in the mesentery were ligated with silk suture. The patient had remained in remission with no evidence of tumor recurrence, however, 2\u00a0years and 5\u00a0months after primary surgery, a contrast-enhanced computed tomography (CT) scan showed a mass-forming lesion on the right external iliac artery (43\u2009\u00d7\u200926\u00a0mm) and hydronephrosis. Positron emission tomography\/computed tomography (PET\/CT) showed a mass-forming lesion without high accumulation, which obstructed the right ureter. Recurrence could not be ruled out due to the rapid appearance of tumor and hydronephrosis in the short-term period. Thus, the patient underwent laparotomy. The tumor located in the mesentery near the anastomosis of ileostomy closure and it was strongly adherent to the retroperitoneum, which obstructed the right ureter. The adhesion between the tumor and ureter was carefully dissected and tumor resection with partial small bowel resection was then performed with preservation of the ureter using ureteral stents. Pathological examination of the tumor revealed fibrous proliferation of foreign body granuloma. In the resected tumor, sutures with foreign giant cells were found. Therefore, we diagnosed the tumor as silk suture granuloma, which was caused by the silk suture used to ligate blood vessels of the mesentery at the ileostomy closure. The patient remained well with no evidence of tumor recurrence as 5\u00a0years after the primary operation of rectal cancer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Suture granuloma is a rare surgery-related complication in the postoperative surveillance of patients with colorectal cancer. If suture granuloma mimicking local recurrence is a differential diagnosis, it would be important to consider to avoid unnecessary extended resection.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01303-7","type":"journal-article","created":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T09:02:44Z","timestamp":1631955764000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Suture granuloma with hydronephrosis caused by ileostomy closure after rectal cancer surgery: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7474-3833","authenticated-orcid":false,"given":"Yasuhiro","family":"Takano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Haruki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu","family":"Tsukihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Abe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muneyuki","family":"Koyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Kanno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyonsu","family":"Son","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyoshi","family":"Hanyu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Eto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,18]]},"reference":[{"key":"1303_CR1","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 DC, Wauters CC, Hop WC, Duron JJ, Pailler JL, et al. Foreign material in postoperative adhesions. Ann Surg. 1996;223:242\u20138.","journal-title":"Ann Surg"},{"key":"1303_CR2","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1016\/j.det.2015.03.014","volume":"33","author":"AM Molina-Ruiz","year":"2015","unstructured":"Molina-Ruiz AM, Requena L. Foreign body granulomas. Dermatol Clin. 2015;33:497\u2013523.","journal-title":"Dermatol Clin"},{"key":"1303_CR3","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1053\/crad.2002.1123","volume":"58","author":"G Brown","year":"2003","unstructured":"Brown G, Drury AE, Cunningham D, Husband JE. CT detection of hydronephrosis in resected colorectal cancer: a predictor of recurrent disease. Clin Radiol. 2003;58:137\u201342.","journal-title":"Clin Radiol"},{"key":"1303_CR4","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1089\/sur.2005.6.377","volume":"6","author":"D Geiger","year":"2005","unstructured":"Geiger D, Debus ES, Ziegler UE, Larena-Avellaneda A, Frosch M, Thiede A, et al. Capillary activity of surgical sutures and suture-dependent bacterial transport: a qualitative study. Surg Infect. 2005;6:377\u201383.","journal-title":"Surg Infect"},{"key":"1303_CR5","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1093\/ajcp\/103.4.466","volume":"103","author":"L Tang","year":"1995","unstructured":"Tang L, Eaton JW. Inflammatory responses to biomaterials. Am J Clin Pathol. 1995;103:466\u201371.","journal-title":"Am J Clin Pathol"},{"key":"1303_CR6","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.1016\/0022-3468(93)90442-N","volume":"28","author":"H Nagar","year":"1993","unstructured":"Nagar H. Stitch granulomas following inguinal herniotomy: a 10-year review. J Pediatr Surg. 1993;28:1505\u20137.","journal-title":"J Pediatr Surg"},{"key":"1303_CR7","doi-asserted-by":"publisher","first-page":"874","DOI":"10.1007\/BF02482778","volume":"29","author":"K Iwase","year":"1999","unstructured":"Iwase K, Higaki J, Tanaka Y, Kondoh H, Yoshikawa M, Kamiike W. Running closure of clean and contaminated abdominal wounds using a synthetic monofilament absorbable looped suture. Surg Today. 1999;29:874\u20139.","journal-title":"Surg Today"},{"key":"1303_CR8","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"},{"key":"1303_CR9","first-page":"457","volume":"34","author":"JW Lim","year":"2005","unstructured":"Lim JW, Tang CL, Keng GH. False positive F-18 fluorodeoxyglucose combined PET\/CT scans from suture granuloma and chronic inflammation: report of two cases and review of literature. Ann Acad Med Singap. 2005;34:457\u201360.","journal-title":"Ann Acad Med Singap"},{"key":"1303_CR10","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S0022-5347(17)39891-9","volume":"143","author":"DM Scheidler","year":"1990","unstructured":"Scheidler DM, Foster RS, Bihrle R, Scott JW, Litwiller SE. Anastomotic suture granuloma following radical retropubic prostatectomy. J Urol. 1990;143:133\u20134.","journal-title":"J Urol"},{"key":"1303_CR11","first-page":"2764","volume":"125","author":"Y Jiao","year":"2012","unstructured":"Jiao Y, Shang Y, Li Q, Wang Y, Wu N, Wang Q, et al. Foreign body granulomas in the left main bronchus resulting from the sutures for esophageal cancer surgery: the report of two cases. Chin Med J (Engl). 2012;125:2764\u20137.","journal-title":"Chin Med J (Engl)"},{"key":"1303_CR12","doi-asserted-by":"publisher","first-page":"313","DOI":"10.3348\/kjr.2009.10.3.313","volume":"10","author":"SW Kim","year":"2009","unstructured":"Kim SW, Shin HC, Kim IY, Baek MJ, Cho HD. Foreign body granulomas simulating recurrent tumors in patients following colorectal surgery for carcinoma: a report of two cases. Korean J Radiol. 2009;10:313\u20138.","journal-title":"Korean J Radiol"},{"key":"1303_CR13","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1186\/s40792-019-0677-7","volume":"23","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;23:116.","journal-title":"Surg Case Rep"},{"key":"1303_CR14","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, et al. A case of postoperative hepatic granuloma presumptively caused by surgical staples\/clipping materials. Diagn Pathol. 2015;10:90.","journal-title":"Diagn Pathol"},{"key":"1303_CR15","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s11604-013-0184-x","volume":"31","author":"A Crucitti","year":"2013","unstructured":"Crucitti A, Grossi U, Leccisotti L, Maggi F, Ricci R, Mazzari A, et al. Food residue granuloma mimicking metastatic disease on FDG-PET\/CT. Jpn J Radiol. 2013;31:349\u201351.","journal-title":"Jpn J Radiol"},{"key":"1303_CR16","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1186\/s40792-021-01251-2","volume":"7","author":"SF Huang","year":"2021","unstructured":"Huang SF, Chiang CL, Lee MH. Suture granuloma mimicking local recurrence of colon cancer after open right hemicolectomy: a case report. Surg Case Rep. 2021;7:164.","journal-title":"Surg Case Rep"},{"key":"1303_CR17","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1007\/s00595-011-0024-5","volume":"42","author":"A Watanabe","year":"2012","unstructured":"Watanabe A, Kohnoe S, Sonoda H, Shirabe K, Fukuzawa K, Maekawa S, et al. Effect of intra-abdominal absorbable sutures on surgical site infection. Surg Today. 2012;42:52\u20139.","journal-title":"Surg Today"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01303-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01303-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01303-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T09:04:55Z","timestamp":1631955895000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01303-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,18]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1303"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01303-7","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,18]]},"assertion":[{"value":"21 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"210"}}