2019 Volume 39 Issue 4 Pages 759-763
A 70-year-old woman who had undergone mesh plug repair for a right inguinal hernia in 1996, visited our hospital because of right inguinal swelling and pain. Right inguinal swelling and redness were observed, and a right inguinal abscess was shown on abdominal enhanced computed tomography (CT). Continuity of this abscess with the ileocecal intestinal tract was suspected. Based on the suspicion of a fistula between the plug and ileocecal intestine, we performed an emergency operation. In the inside of the abdominal cavity, the mesh plug and the ileum had adhered to form a fistula, and an abdominal wall abscess spreading from the subcutaneous to the peritoneal frontal space was observed continuously at the same site. Fistula resection, mesh plug removal and repair of abdominal wall abscess drainage were performed. The postoperative course was not eventful and the patient left the hospital on the seventh postoperative day. At 11 months after surgery, there had been no recurrence of infection or hernia.
