The role of ultrasound in the diagnosis of stitch granulomas following paediatric herniotomy.
OBJECTIVE
To study the role of US in the diagnosis of stitch granulomas following paediatric herniotomy.


METHODS
A retrospective 10-year study of herniotomies performed by a paediatric surgical service.


RESULTS
Twenty children developed stitch granulomas following herniotomy. In all cases, silk sutures had been used in the repair. Masses appeared 1-10 years following surgery and were demonstrated by preoperative US in 17 patients, by CT alone in 1 patient and by both CT and US in 2 patients.


CONCLUSIONS
US is an accurate and cost-effective method for evaluating stitch granulomas following herniotomy in children. The procedure is also valuable in marking the position of these foreign bodies prior to removal.
Nagar
H
H
Department of Paediatric Surgery, Dana Children's Hospital, Tel Aviv Sourasky Medical Centre, Israel.
Kessler
A
A
Graif
M
M
D002675:Child, Preschool; D005260:Female; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging* / Q000209:etiology; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D019476:Insect Proteins; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D047011:Silk; D013537:Sutures / Q000009:adverse effects*; D014463:Ultrasonography
D019476:Insect Proteins; D047011:Silk