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[A CASE OF PERSISTENT RETROPERITONEAL ABSCESS CAUSED BY RESIDUAL SILK SUTURE AFTER SURGERY]

Masahiko Inahara1, Miki Ishibashi1, Tatuo Igarashi1

  • 1Department of Urology, Seirei Sakura Citizen Hospital.

Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|January 20, 2022
PubMed

Insights

A retained silk suture caused a persistent retroperitoneal abscess in a patient undergoing kidney and adrenal surgery. Removing the foreign body resolved the infection, highlighting the importance of surgical material management.

Area of Science:

  • Urology
  • Surgical Pathology

Background:

  • A 61-year-old male presented with left renal cancer and an ipsilateral adrenal tumor.
  • The patient underwent open retroperitoneal partial nephrectomy and adrenalectomy.

Observation:

  • Postoperatively, a retroperitoneal abscess developed, requiring drainage and lavage.
  • Persistent purulent discharge continued for approximately four months despite treatment.
  • Silk sutures were eventually identified and removed from the abscess cavity.

Findings:

  • The removal of silk suture clusters led to a rapid cessation of discharge and significant reduction of the retroperitoneal abscess.
  • This suggests a foreign body reaction to the surgical sutures was the cause of the prolonged infection.

Implications:

  • This case underscores the critical importance of meticulous surgical technique and material selection to prevent retained foreign bodies.
  • Awareness of potential suture-related complications is crucial for managing persistent postoperative infections.
  • Proper surgical material management can prevent long-term morbidity and reduce healthcare costs associated with prolonged infections.
Keywords:
retroperitoneal abscesssilk suture

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