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Intraperitoneal migrating mesh plug wrongfully taken for right colon cancer: A case report.
A Haddad1, D Bel Haj Yahia1, Y Chaker1
1Surgery department A, Rabta Hospital, Rue Jbel Lakhdar, La Rabta Jebbari 1007, Tunis, Tunisia; The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
International Journal of Surgery Case Reports
|June 29, 2021
Summary
Mesh plug hernia repair is effective but can cause rare complications. A case report details a migrated mesh causing bowel erosion and abscess, requiring extensive surgery.
Area of Science:
- General Surgery
- Gastroenterology
Background:
- Mesh hernioplasty is a standard tension-free hernia repair technique.
- While effective in preventing recurrence, mesh use can lead to complications.
- Intraperitoneal mesh plug migration is an uncommon but serious complication.
Purpose of the Study:
- To report a rare case of mesh plug migration after ventral hernia repair.
- To highlight the diagnostic challenges and surgical management of this complication.
Main Methods:
- Case report of a 57-year-old male with a history of mesh plug repair for ventral incisional hernia.
- Patient presented with symptoms initially misdiagnosed as advanced colon cancer.
- Surgical exploration revealed migrated mesh eroding the colon, with associated abscess and small intestine involvement.
Main Results:
- The migrated mesh caused erosion into the hepatic flexure of the colon.
- Significant granulation tissue involving the small intestine and an abdominal wall abscess were present.
- The patient underwent en-bloc resection of the abdominal wall, small intestine, and right colon.
Conclusions:
- Mesh hernioplasty is a common and effective procedure with low recurrence rates.
- Serious complications, including mesh migration, can occur.
- Prompt diagnosis and surgical intervention are crucial for managing mesh migration complications.
