Intraperitoneal Migration of a Mesh Plug from a Hernioplasty Forming a Colocutaneous Fistula with the Cecum: Report of a Case.
نویسندگان
چکیده
Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years previously. Recovery was uneventful until he experienced inflammation of the groin, and required open drainage three times for a refractory abscess in his right groin. Additional colonoscopy and x-ray examinations with contrast medium clearly demonstrated a mesh plug that had migrated and penetrated the cecum, forming a colocutaneous fistula. The mesh was successfully removed under general anesthesia, and the inflammation in the groin resolved.
منابع مشابه
Endoloops as a therapeutic option in colocutaneous fistula closure.
Colonic perforation is a rare complication of laparoscopic inguinal hernioplasty with polypropylene mesh and it is usually due to mesh migration [1, 2]. The presence of a colocutaneous fistula is a sign of high morbidity, and consideration should be given to treatment by endoscopy, al− though the usual treatment for this com− plication is open surgery. Fortunately, with advances in colonoscopy,...
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ورودعنوان ژورنال:
- Journal of Nippon Medical School = Nippon Ika Daigaku zasshi
دوره 82 5 شماره
صفحات -
تاریخ انتشار 2015