Department of Surgery, School of Medical Sciences, Universidade de Marília (UNIMAR), Av. Rio Branco, 1132-Cj. 41, Marília, SP, CEP 17502-000, Brazil.
Hernia. 2012 Aug;16(4):467-70. doi: 10.1007/s10029-010-0760-2. Epub 2010 Dec 8.
Despite the benefits of using surgical meshes to repair abdominal and inguinal hernias, there are increasing reports of mesh migration into the gastrointestinal and urinary tracts-a complication that cannot be overlooked or neglected. Resolution of such cases can be difficult and depends on the degree of migration and the anatomical site involved. The present paper reports the case of a 68-year-old patient undergoing a trans-ureteral resection of a possible bladder malignancy diagnosed following clinical and radiological evaluation. During the procedure (cytoscopy), it was found that migration of a mesh was mimicking the urological disease initially suspected. A polypropylene mesh had been inserted into the right inguinal region 20 years previously to repair an inguinal hernia. This is one of only a few case reports on mesh migration presenting as a suspected bladder malignancy.
尽管使用外科网片修复腹壁和腹股沟疝有很多好处，但越来越多的报告显示网片会迁移到胃肠道和泌尿道中——这是一种不容忽视的并发症。解决这种情况可能很困难，具体取决于迁移的程度和涉及的解剖部位。本文报告了一例 68 岁患者的病例，该患者在临床和影像学评估后，进行了经输尿管切除疑似膀胱癌的手术。在手术过程中（膀胱镜检查），发现一个网片发生迁移，模拟了最初怀疑的泌尿系统疾病。20 年前，为了修复腹股沟疝，在右侧腹股沟区域插入了一个聚丙烯网片。这是少数几例以疑似膀胱癌为表现的网片迁移病例报告之一。
