Infected Suture Granuloma

Abstract

A suture granuloma is a localized inflammatory lesion that develops as a tissue reaction to residual suture material following surgery. It represents a foreign-body response and typically appears as a small, painful swelling, firm nodule, or sometimes as a sinus discharging from the surgical site. This case involves a 27-year-old woman who presented with pain, swelling, and purulent discharge over the infra umbilical scar, six months after multiple abdominal operations. Clinical assessment and ultrasonography confirmed the diagnosis of an infected suture granuloma. The condition was successfully managed through surgical removal of the granulomatous tissue and the retained sutures, followed by appropriate antibiotic treatment. Timely diagnosis and intervention are crucial to avoid further infection, complications, or recurrence.