Complete migration of a composite mesh into small bowel incidentally found during laparotomy for colectomy in an asymptomatic patient: a case report.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
31 Oct 2020
Historique:
received: 06 08 2020
accepted: 21 09 2020
entrez: 31 10 2020
pubmed: 1 11 2020
medline: 15 5 2021
Statut: epublish

Résumé

Composite meshes are used for incisional hernia repair because they enable intraperitoneal mesh placement due to their dorsal surface, which is made of inert material. We report, for the first time, to our knowledge, a case of composite mesh migration detected incidentally during a laparotomy for colon cancer in an asymptomatic patient. Our patient was a 71-year-old South Asian man who underwent ventral mesh repair following a postoperative complication after right hemicolectomy for colon cancer. The patient was diagnosed with a metachronous sigmoid cancer 5 years later, for which he underwent laparotomy. During laparotomy, a migrated mesh was incidentally found and extracted from his proximal ileum without any evidence of abscess or fistula formation. To our knowledge, this is the first report of an incidentally found migrated composite mesh from a bowel lumen in an asymptomatic patient.

Sections du résumé

BACKGROUND BACKGROUND
Composite meshes are used for incisional hernia repair because they enable intraperitoneal mesh placement due to their dorsal surface, which is made of inert material. We report, for the first time, to our knowledge, a case of composite mesh migration detected incidentally during a laparotomy for colon cancer in an asymptomatic patient.
CASE PRESENTATION METHODS
Our patient was a 71-year-old South Asian man who underwent ventral mesh repair following a postoperative complication after right hemicolectomy for colon cancer. The patient was diagnosed with a metachronous sigmoid cancer 5 years later, for which he underwent laparotomy. During laparotomy, a migrated mesh was incidentally found and extracted from his proximal ileum without any evidence of abscess or fistula formation.
CONCLUSION CONCLUSIONS
To our knowledge, this is the first report of an incidentally found migrated composite mesh from a bowel lumen in an asymptomatic patient.

Identifiants

pubmed: 33126917
doi: 10.1186/s13256-020-02540-4
pii: 10.1186/s13256-020-02540-4
pmc: PMC7602325
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

207

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Auteurs

Pramodh Chandrasinghe (P)

Department of Surgery, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. pramodh@kln.ac.lk.

Asantha De Silva (A)

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Ayomi Welivita (A)

Kings Hospital, Colombo 5, Sri Lanka.

Kemal Deen (K)

Kings Hospital, Colombo 5, Sri Lanka.

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Classifications MeSH