Affiliation:
1. Medical Officer Department of General Surgery KIMS Health Trivandrum Kerala
2. Registrar Department of General Surgery KIMS Health Trivandrum Kerala
3. Consultant Surgeon Department of General Surgery KIMS Health Trivandrum Kerala
Abstract
Granulomas are a well recognised entity in gastrointestinal surgery. These are mainly foreign body granulomas (formed
in response to a foreign irritant, such as a suture material from a prior surgery, talc, contrast material) and immune
granulomas (in chronic inflammation). On histopathology, the foreign body giant cell reaction contains multinucleate
giant cells with nuclei that are distributed through the eosinophilic cytoplasm, in which the culprit foreign material may
often be evident. Here we present an interesting case of a distal ileal obstruction and perforation due to a foreign body
granuloma in a male with no prior history of surgery or even endoscopy where no definitive inciting foreign body could
be isolated on histopathology, leaving the cause of his foreign body reaction to remain a mystery.
Subject
Architecture,Visual Arts and Performing Arts,Urban Studies,Visual Arts and Performing Arts,Architecture,Cultural Studies,Mechanics of Materials,Building and Construction,Architecture,General Mathematics,Drug Discovery,Pharmaceutical Science,Genetics,Applied Microbiology and Biotechnology,General Medicine,History,Cell Biology,Developmental Biology,Genetics,Ecology, Evolution, Behavior and Systematics,Philosophy
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