Colon diverticulosis adherent to mesh plug migration after laparoscopic hernia repair: A case study and review of literature.

Abstract

IntroductionInguinal hernia repair has evolved from open suture methods to mesh repair which is preformed either open or laparoscopically. Mesh hernia repair has improved the outcome in regards to patient care and recurrence rate but it is also associated with a number of complications. The complications of mesh hernia repair such as deep seated infections, mesh erosion and mesh perforation into nearby viscera has been scarcely reported in literature.Case presentationWe report a 43 years old male case of diverticulosis adherent to a migrated mesh plug from previous laparoscopic inguinal hernia repair procedure.DiscussionThe choice of mesh material, appropriate suture placement and closure of the peritoneum after mesh repair is very crucial to avoid long term mesh complications.ConclusionThe aim of this case report is to present a rare complication of mesh erosion with colovesical fistula and abscess formation.