silent intruders: recurrent suture granuloma unveiled in caesarean scar

Objective: to describe the clinical and radio-pathological features of suture granuloma, an inflammatory response to retained suture material that primarily affects non-absorbable sutures.case report: we report a case of a 26-year-old female presenting with painful swelling at a caesarean section scar, previously excised for similar complaints. physical examination revealed a solid soft tissue mass on the scar. magnetic resonance imaging (mri) identified a 2x2 cm lesion in the right abdominal wall, suggestive of suture granuloma. surgical excision revealed prolene suture material within the granulomatous tissue. histopathology confirmed foreign body reaction.conclusion: recurrence post-prior excision underscores the importance of complete granuloma removal. differential diagnoses included scar endometriosis and inflammatory lesions. suture granulomas, though rare, require consideration in scar-related swelling. collaboration between specialties ensures accurate diagnosis and management.