Foreign body granulomas simulating recurrent tumors in patients following colorectal surgery for carcinoma: a report of two cases

Korean J Radiol. 2009 May-Jun;10(3):313-8. doi: 10.3348/kjr.2009.10.3.313. Epub 2009 Apr 22.

Abstract

We report here two cases of foreign body granulomas that arose from the pelvic wall and liver, respectively, and simulated recurrent colorectal carcinomas in patients with a history of surgery. On contrast-enhanced CT and MR images, a pelvic wall mass appeared as a well-enhancing mass that had invaded the distal ureter, resulting in the development of hydronephrosis. In addition, a liver mass had a hypointense rim that corresponded to the fibrous wall on a T2-weighted MR image, and showed persistent peripheral enhancement that corresponded to the granulation tissues and fibrous wall on dynamic MR images. These lesions also displayed very intense homogeneous FDG uptake on PET/CT.

Keywords: Colon, surgery; Foreign bodies; Granuloma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Contrast Media
  • Diagnosis, Differential
  • Fluorodeoxyglucose F18
  • Granuloma, Foreign-Body / complications
  • Granuloma, Foreign-Body / diagnosis*
  • Humans
  • Hydronephrosis / etiology
  • Image Enhancement / methods
  • Liver / diagnostic imaging
  • Liver / pathology
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / secondary
  • Magnetic Resonance Imaging
  • Male
  • Pelvic Neoplasms / diagnosis*
  • Pelvic Neoplasms / secondary
  • Pelvis / diagnostic imaging
  • Pelvis / pathology
  • Positron-Emission Tomography
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed

Substances

  • Contrast Media
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18