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Updated: Sep 26, 2025
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.4K
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.
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.
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