Granuloma a cuerpo extraño en abdomen secundario a sutura no absorbible

The foreign body granulomas are induced by relatively inert bodies, it is typical that form around material such as talc or sutures. Some studies report that nonabsorbable sutures especially silk has higher rate of complications such as the formation of foreign body granuloma and postoperative pain. the case of a female patient 40 years old, who consulted for abdominal pain of moderate intensity level epigastric two months of evolution accompanied by nausea and vomiting, presents as a surgical history myomectomy performed two months ago reported. Physical examination of the abdomen globose income at the expense of adipose tissue, bowel sounds present, soft, depressible, painful on palpation in epigastric where mobile tumor of 10 x 10 cm, with no signs of peritoneal irritation is evident. Exploratory laparotomy was performed with the following findings: tumor measuring 10 x 15 cm epigastric level consists of omentum attached to the transverse colon and sigmoid colon plastron forming around nonabsorbable suture.