Falk Gavin A, Means John Ryan, Pryor Auora Dawn
Beaumont Hospital, Beaumont Road, Dublin 9, Dublin, D7, Ireland.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2009.2033. Epub 2009 Sep 28.
This case reports the presentation and investigation of a 64-year-old woman presenting with symptoms of bowel obstruction and found to have synchronous intraluminal migration of a polypropylene mesh from a ventral hernia repair and splenosis compressing the stomach wall. The use of synthetic mesh in any type of hernia repair has a number of risks, one of which is transmigration. This is a very rare complication but has been reported in a number of cases following both open and transabdominal pre-peritoneal repairs of inguinal hernias. Heterotopic splenic tissue or "splenosis" can be a cause of a soft tissue mass, which can mimic a neoplasm leading to misdiagnosis. These implants result from either splenic trauma or after splenic surgery.
本病例报告了一名64岁女性的临床表现及检查情况，该患者出现肠梗阻症状，经检查发现聚丙烯补片从腹疝修补处向腔内同步迁移，并伴有脾组织植入压迫胃壁。在任何类型的疝修补术中使用合成补片都存在一定风险，其中之一就是补片迁移。这是一种非常罕见的并发症，但在腹股沟疝开放修补术和经腹腹膜前修补术后的多例病例中均有报道。异位脾组织或“脾组织植入”可能是软组织肿块的一个原因，它可类似肿瘤导致误诊。这些植入物是由脾外伤或脾手术后形成的。
