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Updated: Sep 26, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Small Bowel Obstruction Caused by Bezoar Formation Around Intraluminal Hernia Mesh.

Kathleen C Gallagher¹, Carolina Pinzon-Guzman¹, Richard A Pierce¹

¹Section of Surgical Sciences, 5718Vanderbilt University Medical Center, Nashville, TN, USA.

The American Surgeon

|April 22, 2022

Summary

A rare case of a bezoar formed around surgical mesh caused small bowel obstruction in a patient with a history of hernia repair. Surgical removal resolved the chronic nausea, vomiting, and dehydration symptoms.

Keywords:

Hernia bezoar bowel obstruction intraluminal mesh mesh migration

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Area of Science:

Gastroenterology
Surgical Innovation
Medical Case Reports

Background:

A 55-year-old female with a history of laparoscopic incisional hernia repair using intraperitoneal TiMesh presented with chronic nausea, vomiting, and dehydration.
The patient experienced recurrent hospitalizations due to severe dehydration secondary to her persistent gastrointestinal symptoms.

Observation:

Exploratory surgery revealed a large, firm, mobile mass within a loop of small bowel.
The mass was identified as a bezoar intricately attached to a segment of intraluminal hernia mesh.

Findings:

The bezoar formation around the intraluminal hernia mesh led to a small bowel obstruction.
This is the first reported instance of a gallstone-like bezoar forming around hernia mesh causing such complications.

Implications:

This case highlights a novel complication associated with intra-abdominal mesh placement.
Early recognition and surgical intervention are crucial for managing bezoar-induced small bowel obstruction.
Further research may be warranted to understand the long-term implications of mesh-related bezoar formation.