Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 46-49.
직장암의 재발과 감별이 필요하였던 직장의 봉합 육아종 1예
김상필ㆍ이창균ㆍ이준영ㆍ박진우ㆍ이태훈ㆍ정일권ㆍ김선주ㆍ김상원*
순천향대학교 의과대학 천안병원 소화기내과학교실, *영상의학교실
A Case of Rectal Suture Granuloma that was Suspected to be a Recurrent Rectal Carcinoma
Sang Pil Kim, M.D., Chang Kyun Lee, M.D., Jun Young Lee, M.D., Jin Woo Park, M.D., Tae Hoon Lee, M.D., Il-Kwun Chung, M.D., Sun-Joo Kim, M.D. and Sang Won Kim, M.D.*
Departments of Internal Medicine and *Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea
Abstract
Suture granuloma is a benign, rare complication of surgical intervention and it is known to occur after the use of non-absorbable suture materials deep within the skin. Although suture granuloma can occur anywhere in the body after a variety of operations, its incidence has rapidly diminished in recent years since the widespread use of absorbable suture materials. Clinically, making the differential diagnosis with recurrent cancer is obviously important for a cancer patient because postoperative suture granuloma can mimic local tumor recurrence after surgical resection. We recently encountered a case of rectal suture granuloma in a patient with rectal cancer and who underwent low anterior resection 4 years previously. The diagnosis was made according to the characteristic image findings of endoscopic ultrasonography and the abdominal CT scan. The patient was successfully treated with broad-spectrum antibiotics, US-guided incision and drainage. We report here on a rare case of rectal suture granuloma and we briefly review the relevant literature. (Korean J Gastrointest Endosc 2009;39:46-49)
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