Abdominal wall pseudocyst complicating incisional hernia repair.

Abstract

Background: Development of a pseudocyst after mesh repair of hernia is a rare complication. As a result, both diagnosis and management pose a great challenge to the attending surgeon. Therefore, the need to report such an uncommon complication and its management in order to create awareness of this distinct rare entity. Case report: A case of pseudocyst formation following a onlay mesh repair of incisional hernia is reported. Contrast-enhanced CT scan was diagnostic. It revealed a well formed cyst with no communication with the peritoneal cavity. Complete excision of the cyst was curative. Conclusion: Pseudocyst formation is a rare complication following mesh repair. Contrast enhanced CT scan is essential for confirming the diagnosis. Complete surgical resection of the cyst is the mainstay of surgical treatment.