ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
Suture Granuloma 14 Years Following Partial Thyroidectomy Masquerading as Tuberculosis af The Sinus Tract
1 Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia  
Eurasian J Med 2018; 50: 122-124
DOI: 10.5152/eurasianjmed.2018.0006
Key Words: Suture granuloma, thyroidectomy, tuberculosis


Suture granuloma rarely occurs after thyroid surgery using non-absorbable sutures. We report the case of a 63-year-old female with a chronic discharging sinus in the anterior neck region. She had a history of subtotal thyroidectomy at the age of 45. The sinus had been excised and was reported as granulomatous lesions suggestive of tuberculosis. She was treated with anti-tuberculous medications, but unfortunately, she developed side effects. Histopathological slides were re-evaluated, which showed evidence of foreign material under polarized light; hence, the diagnosis was revised to suture granuloma. In conclusion, although sinus tract discharges are commonly attributed to tuberculosis, physicians should consider suture granuloma if they encounter a patient who has undergone a surgical procedure in the past.


Cite this article as: Abdul Hamid MF, Yu Lin AB, Maharani Hasan T. Suture granuloma 14 years following partial thyroidectomy masquerading as tuberculosis of the sinus tract. Eurasian J Med 2018; 50: 122-4.

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