Abstract
A 77-year-old woman who had undergone emergent mesh plug repair for left inguinal incarcerated hernia 11 years earlier, visited our hospital because of left inguinal pain. Left inguinal severe swelling and redness were observed, and a left inguinal abscess was shown on abdominal enhanced computed tomography (CT), we diagnosed late-onset mesh infection. Based on suspicion of a fistula between the plug and small intestine, we performed an operation. The infected plug and onlay patch were entirely removed, and vacuum-assisted closure therapy was performed with the drain under the sutured aponeurosis of the external abdominal oblique muscle. Postoperative course was good, no signs of recurrence of hernia or infection have occurred. To the best of our knowledge, there have been only a few cases of late-onset mesh infection more than 10 years after the inguinal hernia repair in Japan. We present our case with a review of the literature.
