Mesh Migration into Sigmoid Colon after Inguinal Hernioplasty Presenting as Lower Abdominal Mass: A Case Report

Hamza Ahmad,Ayesha Shahid,Haroon Javaid Majid

doi:10.52916/jmrs214052

Hamza Ahmad, Ayesha Shahid + Show 1 more

Open Access

https://doi.org/10.52916/jmrs214052

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Abstract

Mesh related visceral complications are, in general, considered to be infrequent and rarely reported in literature, but in the last decade, incidence of such complications have increased. Our study highlights the case of an elderly patient, who developed rare complication of Mesh migration after laparoscopic inguinal hernioplasty.

Highlights

Hernioplasty has documented advantages over herniorrhaphy, which caused increased use of Mesh in hernia repair
Complications of hernioplasty are usually minor but Mesh related visceral complications have been reported in literature [1]
Mesh can migrate into viseras like bladder [2], and intestines presenting as obstruction [3] or enterocutaneous fistula [4] or even mass [5]

Summary

Introduction

Hernioplasty has documented advantages over herniorrhaphy, which caused increased use of Mesh in hernia repair. Colonoscopy showed multiple diverticula in sigmoid and descending colon with a bezoar impacted in sigmoid colon A thick walled collection extending from the proximal sigmoid loop anteriorly along the posterior reflection of anterior abdominal wall, extending posteriorly to left rectus abdominis reaching to supra pubic level (Figure 1). This has a frank communication with bowel lumen. J Med Res Surg, Citation: Ahmad H, Majid HJ, Shahid A (2021) Mesh Migration into Sigmoid Colon after Inguinal Hernioplasty Presenting as Lower Abdominal Mass: A Case Report.

Discussion

Conclusion