Curious case of mesh associated foreign body granuloma- a case report: Curious case of mesh associated foreign body granuloma- a case report
Authors
Dr Prathamesh Pathrikar, Dr Sanjay Chatterjee, Dr M Amir, Dr Sameer DeshmukhFiles
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Journal
Published in Vol. 64 No. 1 (2022) of Bombay Hospital Journal.
Bombay Hospital Journal (BHJ) is a peer-reviewed quarterly published Print and Online journal. It is an official Journal of Bombay Hospital institute of medical sciences. The aim of BHJ is to improve medical care by publishing sound scientific articles (both research and practice papers) and focusing on topics that are of great importance to its readership.
Editor-in-Chief- Dr Satish Vasant Khadilkar
About the JournalAbstract
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
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