Multiple Abdominal Wall Chronic Discharging Sinuses With Prolene Granuloma: A Case Report

This case report details a rare instance of multiple chronic discharging abdominal wall sinuses associated with Prolene granuloma in a 35-year-old woman following a caesarean section. Abdominal wall sinuses, though uncommon, can arise as complications after surgery, often due to foreign body reactions to materials such as non-absorbable sutures. Prolene granuloma, a rare inflammatory response to Prolene sutures, can manifest as painful masses or discharging sinuses long after surgery. In this case, the patient developed a ruptured blister at the Pfannenstiel scar, progressing to an ulcer and multiple foul-smelling sinuses. A CT scan revealed a linear hypodense track in the lower abdominal wall, suggestive of a foreign body reaction. Surgical exploration confirmed the presence of Prolene granuloma, which was successfully excised along with the sinus tracts. Histopathological analysis confirmed the diagnosis. This case highlights the need to consider Prolene granuloma in post-surgical complications, emphasizing the importance of early recognition and surgical intervention to prevent further issues and ensure symptom resolution.