Mehrotra Prateek K, Ramachandran C S, Goel Deep, Arora Vijay
Department of General Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, India.
Hernia. 2006 Apr;10(2):192-4. doi: 10.1007/s10029-005-0025-7. Epub 2005 Sep 1.
Giant pseudocyst formation of the anterior abdominal wall, following on-lay polypropylene mesh repair for incisional hernia is an under reported complication. We report an unusual case of a 56-year-old female who underwent a polypropylene mesh repair of incisional hernia 2 years back. Subsequently she developed a giant pseudocyst of the anterior abdominal wall, which was occupying the whole of the abdomen from the xiphisternum to the pubic bone, and over both the flanks. Over a period of one year, the cyst had defied multiple attempts at aspiration. The patient underwent a laparoscopic drainage of the collection with piecemeal excision of the entire cyst wall. Histopathology of the cyst wall revealed necrotic material with intervening areas of hemorrhage. No epithelial lining was seen. There has been no recurrence in the two years of follow-up.
giant pseudocyst of the anterior abdominal wall is a rare complication following mesh repair of an incisional hernia. Such pseudocysts can be managed successfully by laparoscopic procedures.
腹壁前巨大假性囊肿形成是补片修补术后切口疝的一种未被充分报道的并发症。我们报告了一例不寻常的病例，一名56岁女性，2年前接受了聚丙烯补片修补切口疝手术。随后她出现了腹壁前巨大假性囊肿，囊肿占据了从剑突到耻骨的整个腹部以及双侧胁腹。在一年的时间里，该囊肿多次穿刺抽吸均未成功。患者接受了腹腔镜下积液引流并完整切除整个囊肿壁。囊肿壁的组织病理学检查显示有坏死物质及散在的出血区域，未见上皮内衬。随访两年无复发。
腹壁前巨大假性囊肿是补片修补切口疝术后罕见的并发症。此类假性囊肿可通过腹腔镜手术成功治疗。
