Related Experiment Video

Updated: Mar 9, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

6.0K

Obscure Overt Gastrointestinal Bleeding Secondary to Ventral Hernioplasty Mesh Small Bowel Perforation Visualized

Yumi Mendez-Ishizaki1, Javier L Parra2

  • 1Florida International University Herbert Wertheim College of Medicine, Miami, FL.

ACG Case Reports Journal
|December 24, 2016
PubMed

Insights

A 79-year-old female experienced gastrointestinal bleeding 9 years after ventral hernia repair. Video capsule endoscopy diagnosed a rare complication: the surgical mesh perforating her small intestine.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Medical Diagnostics

Background:

  • Ventral hernioplasty with mesh is a common surgical procedure.
  • Complications, though rare, can occur years after surgery.
  • Obscure overt gastrointestinal bleeding requires thorough investigation.

Observation:

  • A 79-year-old female presented with hematemesis and melena.
  • Initial upper and lower endoscopy were inconclusive.
  • Video capsule endoscopy revealed a metallic wire mesh perforating the jejunum.

Findings:

  • This case represents the first documented instance of ventral hernia mesh perforation diagnosed using video capsule endoscopy.
  • Abdominal CT scan visualized the mesh near the small bowel but did not confirm perforation.
  • The metallic wire mesh from the ventral hernioplasty was identified as the cause of the gastrointestinal bleeding.

Implications:

  • Video capsule endoscopy is a valuable tool for diagnosing obscure gastrointestinal bleeding.
  • Physicians should consider mesh-related complications in patients with a history of hernioplasty presenting with GI bleeding.
  • This case highlights the importance of a comprehensive diagnostic approach for persistent gastrointestinal bleeding.

More Related Videos

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

1.0K
Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

955

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
874
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
703
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
1.1K
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
690