Spontaneous complete migration of suture material after subcuticular continuous suture in cesarean section: a case report

BMC Surgery

Soon Cheol Hong¹  Ki Hoon Ahn¹  Ki-Jin Ryu¹ 

[1] Department of Obstetrics and Gynecology, College of Medicine, Korea University and Korea University Medical Center, 126-1, 5-Ga Anam-Dong, SeongBuk-Gu, Seoul 136-705, Republic of Korea

关键词: Cesarean section;    Wound recovery;    Subcuticular suture;    Suture material migration;   

Others  :  1090938
DOI  :  10.1186/1471-2482-14-103

 received in 2014-05-02, accepted in 2014-12-02,  发布年份 2014

【 摘 要 】

Background

Skin closure during cesarean section is often performed with subcuticular running sutures by using a nonabsorbable suture material. However, this material has the risk of incomplete removal after wound healing and can migrate to other sites in rare cases.

Case presentation

A 34-year-old Korean woman who had undergone a cesarean section 5 months prior presented with a fine, blue object visible through the skin on her left lower abdomen. No pain or any other signs of inflammation were observed. The foreign body was revealed to be 10-cm-long suture material that had migrated laterally approximately 15 cm in intradermal layer during the previous 5 months, without tangling of the entire length.

Conclusions

Small remnants of suture materials in the subcutaneous tissue are known to migrate toward the superficial layer. The mechanism of these migrations is often thought to be related to foreign body immune reaction or the force generated in wound contracture. Long-distance migration of relatively long suture materials, as in the present case, has not been reported yet. Such a steady tension in a uniform direction within a human tissue layer cannot be explained clearly by the previously described mechanisms. That migration might have occurred in superficial subcutaneous tissue layers through the horizontal flow or movement of those layers during the recovery process that have not been revealed yet.

【 授权许可】

   
2014 Ryu et al.; licensee BioMed Central Ltd.

【 图 表 】

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