Curious case of mesh associated foreign body granuloma- a case report: Curious case of mesh associated foreign body granuloma- a case report

Dr Prathamesh Pathrikar; Dr Sanjay Chatterjee; Dr M Amir; Dr Sameer  Deshmukh

doi:10.15713/ins.bhj.96

Authors

Dr Prathamesh Pathrikar Bombay hospital
Dr Sanjay Chatterjee
Dr M Amir
Dr Sameer Deshmukh

DOI:

https://doi.org/10.15713/ins.bhj.96

Abstract

Background: Foreign body granuloma represents granulomatous response of the tissue to any foreign body. Many cases of foreign body granuloma with various foreign bodies have been reported. However, mesh acting as a foreign body is quite a rare occurrence.

Summary: Here we report a case of a 52 yrs old lady who presented to us with complaints of swelling over abdomen in supraumbilical area since 6 months. Patient had a history of umbilical hernioplasty done 4 yrs back. On clinical evaluation, the provisional diagnosis of an ?abdominal wall tumor ?recurrent hernia was made. Ultrasound and computed tomography of the abdomen was done which was suggestive of a midline abdominal wall abscess. Excision of the swelling and consecutive histopathological analysis suggested it to be a foreign body granuloma associated with the mesh.

Conclusion: Thus, it is very important to keep in mind foreign body granuloma as a differential diagnosis in patients with history of hernia surgery presenting with swelling in the same region.

Keywords- abdominal wall lump, abdominal wall abscess, foreign body granuloma