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KMID : 0371320070720030239
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Journal of the Korean Surgical Society
2007 Volume.72 No. 3 p.239 ~ p.243
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Postoperative Foreign Body Granuloma, which was Overdiagnosed as a Metastatic Lymph Node? The Role of Laparoscopy and Laparoscopic Ultrasonography in the Evaluation of Metastatic Lesions?
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Suh Yuhn-Suk
Park Do-Joong
Kim Hyung-Ho
Han Ho-Seong
Lee Hyuk-Joon
Yang Han-Kwang
Lee Kuhn-Uk
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Abstract
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We report the case of a postoperative foreign body granuloma, which was misdiagnosed as a metastatic lymph node, but confirmed by laparoscopic removal. A-68-year old man was admitted for the management of a suspected metastatic lymph node. He had undergone a laparoscopy-assisted distal gastrectomy, with simultaneous D2 lymph node dissection and a left adrenalectomy for T1N0M0 early gastric cancer and an adrenal adenoma 8 months previously. Preoperative computed tomography and whole body PET showed a 1.6 cm sized suspected metastatic lymph node between the efferent jejunal loop and pancreas tail. A diagnostic laparoscopy was performed for pathological confirmation. After laparoscopic adhesiolysis, the lesion was localized using laparoscopic ultrasonography, with the mass also removed laparoscopically. Permanent pathology revealed the mass to be a foreign body granuloma, but without malignancy. In cases of suspected local recurrence or lymph node metastasis following radical surgery, a diagnostic laparoscopic procedure could play a role in confirming the recurrence. (J Korean Surg Soc 2007;72:239-243)
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KEYWORD
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Diagnostic laparoscopy, Foreign body granuloma, Laparoscopic gastrectomy, Laparoscopic ultrasonography
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