[An operative case of suture-granuloma which resulted from an intra-pulmonary treatment 10 years ago and manifested hemoptysis].
We experienced a 27-year-old male patient with recurrent hemoptysis manifested by granuloma which resulted from surgical repair that was performed for right pneumothorax using unabsorbable sutures (braided silk) before 10 years. The patient had been suffering from fever and cough for three months before hemoptysis. Chest X-ray and CT scan films showed a mass shadow in the lateral side of the right lung field. Furthermore, bronchoscopy revealed bleeding in B3 of the right lung. The patient underwent right upper lobectomy, which disclosed that hemoptysis was due to a granuloma (2.3 x 3.2 cm in size) formed around sutures. The granuloma was caused not only by foreign body reaction but also by transbronchial infection.
Baba
K
K
Division of Surgery, Kumamoto City Hospital, Japan.
Nagao
K
K
Matsuda
M
M
Nishimura
R
R
Matsuoka
Y
Y
Yamashita
H
H
Fukuda
M
M
Higuchi
A
A
Ueno
M
M
Ikeda
K
K
Masuyama
S
S
Murakami
A
A
D000328:Adult; D015745:Granuloma, Foreign-Body / Q000209:etiology*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D011030:Pneumothorax / Q000601:surgery*; D011183:Postoperative Complications; D013537:Sutures; D013997:Time Factors