Foreign body granulomas mimic peritoneal dissemination caused by incarcerated femoral hernia perforation:A case report  

作　　者：Shinpei Ogino Tatsuya Matsumoto Yosuke Kamada Noriaki Koizumi Hiroshi Fujiki Kenji Nakamura Takeshi Yamano Chouhei Sakakura 

机构地区：[1]Department of Surgery,Akashi City Hospital,Akashi 673-8501,Hyogo,Japan [2]Department of Pathology,Akashi City Hospital,Akashi 673-8501,Hyogo,Japan

出　　处：《World Journal of Clinical Oncology》2021年第11期1083-1088,共6页世界临床肿瘤学杂志（英文版）

摘　　要：BACKGROUND Foreign body granuloma(FBG)is a well-known type of granulomatous formation,and intraabdominal FBG(IFBG)is primarily caused by surgical residues.Multifocal IFBGs caused by gastrointestinal perforation is an extremely rare and interesting clinicopathological condition that resembles peritoneal dissemination.Here,we present a case of IFBGs mimicking peritoneal dissemination caused by bowel perforation and describe the value of intraoperative pathological examinations for rapid IFBG diagnosis.CASE SUMMARY An 86-year-old woman with an incarcerated femoral hernia was admitted to the hospital and underwent operation.During the operation,the incarcerated ileum was perforated during repair due to hemorrhage necrosis,and a small volume of enteric fluid leaked from the perforation.The incarcerated ileum was resected,and the femoral hernia was repaired without mesh.Four months later,a second operation was performed for an umbilical incisional hernia.During the second operation,multiple small,white nodules were observed throughout the abdominal cavity,resembling peritoneal dissemination.The results of peritoneal washing cytology in Douglas’pouch and the examination of frozen nodule sections were compatible with IFBG diagnosis,and incisional hernia repair was performed.CONCLUSION IFBGs can mimic malignancy.Intraoperative pathological examinations and operation history are valuable for the rapid diagnosis to avoid excessive treatments.

关 键 词：Foreign body granuloma Peritoneal dissemination Peritoneal seeding PERFORATION Operation Case report 

分 类 号：R656.2[医药卫生—外科学]