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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2023; 06(01): 053-057
DOI: 10.1055/s-0042-1751253
Case Report

Spontaneous Migration of Intraperitoneal Mesh into Rectum following Ventral Hernia Repair

Aruna R. Patil
1   Department of Radiology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Ravishankar Bhat
2   Department of Surgical Gastroenterology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Madhusudhana Basavarajappa
1   Department of Radiology, Apollo Hospitals, Bengaluru, Karnataka, India
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Abstract

We present a rare case of spontaneous migration of mesh into the anal canal 6 years after laparoscopic intraperitoneal mesh placement for ventral hernia. Mesh migration is an uncommon phenomenon with an unclear etiology and is probably attributed to prolonged subclinical infection or foreign body reaction. This is probably the first case in literature to our knowledge, where composite mesh was migrated into the anal canal after a laparoscopic intraperitoneal mesh placement and was retrieved in a natural way without surgical intervention.

Keywords

mesh migration - hernia repair - foreign body - ventral hernia - computed tomography


Publication History

Article published online:
15 August 2022

© 2022. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Cunningham HB, Weis JJ, Taveras LR, Huerta S. Mesh migration following abdominal hernia repair: a comprehensive review. Hernia 2019; 23 (02) 235-243
    CrossrefPubMedGoogle Scholar
  • 2 Gandhi D, Marcin S, Xin Z, Asha B, Kaswala D, Zamir B. Chronic abdominal pain secondary to mesh erosion into cecum following incisional hernia repair: a case report and literature review. Ann Gastroenterol 2011; 24 (04) 321-324
    PubMedGoogle Scholar
  • 3 Robinson TN, Clarke JH, Schoen J, Walsh MD. Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surg Endosc 2005; 19 (12) 1556-1560
    CrossrefPubMedGoogle Scholar
  • 4 Patil AR, Nandikoor S, Mohanty HS. Mind the gap: imaging spectrum of abdominal ventral hernia repair complications. Insights Imaging 2019; 10: 40
    CrossrefPubMedGoogle Scholar
  • 5 Agrawal A, Avill R. Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 2006; 10 (01) 79-82
    CrossrefPubMedGoogle Scholar
  • 6 Voisard G, Feldman LS. An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair. Hernia 2013; 17 (05) 673-677
    CrossrefPubMedGoogle Scholar
  • 7 Wattanasirichaigoon S. Transmural migration of a retained surgical sponge into the intestinal lumen: an experimental study. J Med Assoc Thai 1996; 79 (07) 415-422
    PubMedGoogle Scholar
  • 8 Lee Y. Bae B-N. Transmural mesh migration from the abdominal wall to the rectum after hernia repair using a Prolene mesh: a case report. Ann Coloproctol 2021; 37 (Suppl 1): S28-S33
    CrossrefPubMedGoogle Scholar
  • 9 Horzic M, Vergles D, Cupurdija K, Kopljar M, Zidak M, Lackovic Z. Spontaneous mesh evacuation per rectum after incisional ventral hernia repair. Hernia 2011; 15 (03) 351-352
    CrossrefPubMedGoogle Scholar
  • 10 Persson P, Scrimgeour DSG, Parnaby C. Mesh migration – should it be a mandatory consentable complication?. J Case Rep Images Surg 2019; 5: 100057Z12PP2019
    Google Scholar