A Case with Perforation of Sigmoid Colon due to Mesh Plug for Inguinal Hernia

Abstract

Mesh plug repair has been one of the common methods for inguinal hernia. We report a case with perforation of sigmoid colon due to mesh plug for the repair of inguinal hernia. The patient presented peritoneal abscess forming colocutaneous and colovesicle fistula. He had previously undergone repair of left inguinal hernia with mesh plug. After diverting colostomy in transverse colon, sigmoidectomy, fistulectomy in bladder as well as removal of the prostheses were carried out. The third surgery of stoma closure finalized these procedures. A little literature described intestinal perforation due to prosthesis including mesh plug, though its incidence is very rare.