This was a lady in her early thirties ; she has 2 children , both of whom were delivered by LSCS.
The last child birth was 6 months ago.
She was being evaluated for complaints of purulent discharge on and off from the scar tissue with pain.
Her routine abdomino pelvic ultrasound scan was normal. The following pictures are acquired with a high resolution 11Mhz transducer.
This revealed unabsorbed suture and irregular collection
She was taken up for exploratory procedure to remove the suture remnants.
Absorbable sutures not getting absorbed can occur rarely and can lead to such complications . The surgeon is always looked at with suspicion by the patient .
The following references are from the internet.
This interesting link tells us about a particular suture by a renowned company causing problems and later being withdrawn.
May be there are other brands causing similar problems.