2021 Volume 46 Issue 2 Pages 160-164
A 71-year-old man had undergone a hernia repair for a left inguinal hernia using a mesh plug 13 years previously. A screening revealed a positive fecal occult blood test, prompting a local doctor to perform a colonoscopy. He visited our hospital because of a suspected type 2 tumor in the upper sigmoid colon. Two colonoscopy examinations were performed at our hospital, but the biopsy results showed granulation tissue only, and no atypical cells were detected. An abdominal computed tomography (CT) examination showed a lesion extending from the abdominal wall of the left groin to the sigmoid colon. Since the patient had a history of surgery for a left inguinal hernia, he was diagnosed as having a sigmoid colon penetration caused by a mesh plug, and a laparoscopic sigmoid resection was performed. The mesh plug was removed. He was discharged on the 11th day after the operation with no complications. Here, we report a rare case of gastrointestinal perforation/penetration caused by a mesh plug after inguinal hernia surgery without infection.
