Ovariohysterectomy is a common surgical procedure performed on female dogs throughout the world. One rare complication is the development of granulomas as a reaction to sutures. Granulomas can grossly and on diagnostic imaging mimic neoplasia, which can present a diagnostic challenge. We present a rare case of ovarian suture granuloma, which resembled a tumor on diagnostic imaging. A 5-year-old, spayed, mixed-breed bitch was presented for anorexia and apathy lasting for a week. On clinical examination fever, dehydration, enlarged lymph nodes, and a tense abdomen were evident. Radiology and ultrasound revealed a 9 cm x 7 cm mass at the location of the left ovary, presumed to be a tumor. The mass was removed on laparotomy and submitted for histopathology which diagnosed granulomatous inflammation as a reaction to a foreign body (most consistently with suture reaction). The current case presents a rare late complication of ovariohysterectomy in the form of a suture granuloma. The case emphasizes the need for additional diagnostic procedures for etiologic diagnosis of masses encountered in the abdomen, especially histopathology, as diagnostic imaging cannot distinguish inflammation from neoplasia.
Keywords: bitch; granuloma; histopathology; ovariohysterectomy; radiology; suture reaction.
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