Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
J Korean Surg Soc. 2007 Mar;72(3):239-243. Korean. Case Report.
Suh YS , Park DJ , Kim HH , Han HS , Lee HJ , Yang HK , Lee KU .
Department of Surgery, Seoul National University College of Medicine, Korea. hhkim@snubh.org
Department of Surgery, Seoul National University Bundang Hospital, Korea.
Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Abstract

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.

Copyright © 2019. Korean Association of Medical Journal Editors.