Curious case of mesh associated foreign body granuloma- a case report

Background: Foreign body granuloma represents granulomatous response of the tissue to any foreign body. Many cases of foreign body granuloma with various foreign bodies have been reported. However, mesh acting as a foreign body is quite a rare occurrence. Summary: Here we report a case of a 52 yrs old lady who presented to us with complaints of swelling over abdomen in supraumbilical area since 6 months. Patient had a history of umbilical hernioplasty done 4 yrs back. On clinical evaluation, the provisional diagnosis of an ?abdominal wall tumor ?recurrent hernia was made. Ultrasound and computed tomography of the abdomen was done which was suggestive of a midline abdominal wall abscess. Excision of the swelling and consecutive histopathological analysis suggested it to be a foreign body granuloma associated with the mesh. Conclusion: Thus, it is very important to keep in mind foreign body granuloma as a differential diagnosis in patients with history of hernia surgery presenting with swelling in the same region. Keywords- abdominal wall lump, abdominal wall abscess, foreign body granuloma