2020 Volume 73 Issue 3 Pages 115-120
A 70-year-old man who had undergone mesh plug repair for right inguinal hernia 17 years earlier visited our hospital because of a right inguinal sense of incongruity. Three years later, right inguinal severe swelling and redness were observed, and a left inguinal abscess was found on abdominal enhanced computed tomography (CT), so we diagnosed late-onset mesh infection. Based on the suspicion of a fistula between the plug and cecum we performed an operation. The infected plug and onlay patch were entirely removed. Pulmonary embolism, ileus, and SSI developed postoperatively, but the course improved, and there was no recurrence of the hernia. To the best of our knowledge, there have been only case in which an endoscopic mesh plug was observed 17 years after surgery. Furthermore, there has been no reported case of mesh infection 20 years after surgery. We present our case with a review of the literature.
