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Multiple Abdominal Wall Chronic Discharging Sinuses With Prolene Granuloma: A Case Report
Ganugapanta Prem Sai Reddy1, Samir Ahmad1, Srinivasan C1
1Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus
|October 23, 2024
Summary
This case report describes a rare complication of abdominal wall sinuses caused by Prolene granuloma following caesarean section. Early surgical intervention is crucial for resolving these post-surgical foreign body reactions.
Area of Science:
- Surgical Pathology
- Gastroenterology
Background:
- Abdominal wall sinuses are uncommon post-surgical complications.
- They can result from foreign body reactions to implanted materials like non-absorbable sutures.
Observation:
- A 35-year-old woman presented with multiple chronic discharging abdominal wall sinuses after a caesarean section.
- The patient developed a ruptured blister at the Pfannenstiel scar, leading to an ulcer and sinuses.
Findings:
- CT scan indicated a foreign body reaction in the abdominal wall.
- Surgical exploration confirmed Prolene granuloma, successfully excised with sinus tracts.
- Histopathology verified the diagnosis of Prolene granuloma.
Implications:
- This case underscores the importance of considering Prolene granuloma in patients with post-surgical sinuses.
- Prompt recognition and surgical management are vital for effective treatment and symptom resolution.
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