Chandrasinghe Pramodh, De Silva Asantha, Welivita Ayomi, Deen Kemal
Department of Surgery, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
J Med Case Rep. 2020 Oct 31;14(1):207. doi: 10.1186/s13256-020-02540-4.
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.
复合补片用于切口疝修补，因其背面由惰性材料制成，可实现腹腔内补片放置。据我们所知，我们首次报告了一例在无症状患者因结肠癌行剖腹手术时偶然发现的复合补片移位病例。
我们的患者是一名71岁的南亚男性，在因结肠癌行右半结肠切除术后出现术后并发症，接受了腹侧补片修补术。5年后，该患者被诊断为异时性乙状结肠癌，为此他接受了剖腹手术。在剖腹手术中，偶然发现一块移位的补片，并从其近端回肠中取出，没有任何脓肿或瘘管形成的迹象。
据我们所知，这是首次报道在无症状患者中偶然发现补片从肠腔移位的病例。
