Journal of Nippon Medical School
Online ISSN : 1347-3409
Print ISSN : 1345-4676
Case Reports
Intraperitoneal Migration of a Mesh Plug from a Hernioplasty Forming a Colocutaneous Fistula with the Cecum: Report of a Case
Kumiko SekiguchiYoshiaki MizuguchiYasuhiro MamadaMichihiro KoizumiEiji Uchida
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Volume 82 (2015) Issue 5 Pages 246-249

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Abstract

Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years previously. Recovery was uneventful until he experienced inflammation of the groin, and required open drainage three times for a refractory abscess in his right groin. Additional colonoscopy and x-ray examinations with contrast medium clearly demonstrated a mesh plug that had migrated and penetrated the cecum, forming a colocutaneous fistula. The mesh was successfully removed under general anesthesia, and the inflammation in the groin resolved.

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© 2015 by the Medical Association of Nippon Medical School
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