Foreign body granulomas mimic peritoneal dissemination caused by incarcerated femoral hernia perforation: A case report

Figure 1 The necrotic ileum was resected, and the right femoral hernia was repaired using the McVay procedure. A: The ileum was incarcerated into the right femoral hernia; B: The incarcerated ileum became necrotic; C: The resected ileum showed hemorrhage necrosis over a 10 cm length.

Figure 2 Multiple small white nodules mimicking peritoneal dissemination were observed throughout the entire abdominal cavity during the second operation. A: Right upper abdominal cavity; B: Right lower abdominal cavity; C: Left upper abdominal cavity; D: Left lower abdominal cavity; E: Back side of the bladder.

Figure 3 Papanicolaou stain of the peritoneal washing cytology of Douglas’ pouch showed only inflammatory cells (× 40).

Figure 4 Pathological findings of the small white nodule. Hematoxylin and eosin stain of the nodule. A multinucleated giant cell with a foreign body (arrow) surrounded by monocytes, lymphocytes, and granuloma formations. A: × 40; B: × 100; C: × 200.