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切口疝修补术后补片侵蚀盲肠继发慢性腹痛:一例报告及文献复习

Chronic abdominal pain secondary to mesh erosion into ceacum following incisional hernia repair: a case report and literature review.

作者信息

Aziz Fahad, Zaeem Misbah

机构信息

Penn State Hershey Medical Center, 500 University Drive, MC, Hershey, PA 17033, USA.

Wake Forest School of Medicine, Winston-Salem, NC, USA.

出版信息

J Clin Med Res. 2014 Apr;6(2):153-5. doi: 10.14740/jocmr1730w. Epub 2014 Feb 6.

Abstract

Incisional hernias following abdominal operations are a common complication. Mesh is frequently employed in repair of these hernias. Mesh migration is an infrequent occurrence. We present the case of transmural mesh migration from the abdominal wall into the ceacum presenting as chronic abdominal pain. Given the popularity of minimally invasive surgery utilizing polypropylene mesh for incisional hernia repair, related complications such as postoperative hematoma and seroma, foreign body reaction, organ injury, infection, mesh rejection and fistula are increasingly being noted. Most of the mesh migrations reported in the literature involve the urinary bladder. We present a case of delayed mesh migration into the ceacum. Mesh migration is a rare and peculiar complication that is rarely reported in the literature. A review of the literature shows that there are no other cases of mesh migration into ceacum several years after open type incisional hernia repair.

摘要

腹部手术后的切口疝是一种常见的并发症。修补这些疝时经常使用补片。补片移位并不常见。我们报告了一例经腹壁至盲肠的透壁补片移位病例,表现为慢性腹痛。鉴于使用聚丙烯补片进行切口疝修补的微创手术很普遍,术后血肿和血清肿、异物反应、器官损伤、感染、补片排斥和瘘管等相关并发症越来越受到关注。文献报道的大多数补片移位涉及膀胱。我们报告一例补片延迟移位至盲肠的病例。补片移位是一种罕见且特殊的并发症,文献中鲜有报道。文献回顾显示,开放性切口疝修补术后数年没有其他补片移位至盲肠的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05bf/3935526/be4c98b56b20/jocmr-06-153-g001.jpg

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