Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.
Department of Radiology, San Francisco Veterans Affairs Medical Center, 4150 Clement St, Building 200, Room 2D-008, San Francisco, CA, 94121, USA.
Clin J Gastroenterol. 2021 Feb;14(1):136-140. doi: 10.1007/s12328-020-01291-5. Epub 2020 Nov 25.
We present the case of a 60-year-old man with a complex medical history, presenting to the hospital with generalized weakness and found to be markedly hyperglycemic. Early in the patient's hospital course, he developed abdominal pain and was found to have a small bowel obstruction secondary to intraluminal migrated surgical mesh entrapped in the terminal ileum. The bowel obstruction was relieved surgically with uncomplicated mesh removal and ileocecectomy. Surgical mesh migration is a relatively rare complication of hernia repair and abdominal wall reconstruction, and intraluminal mesh migration is an even more rare variant. Our case demonstrates key clinical and imaging features and serves as an important example of how such cases may present.
我们报告了一例 60 岁男性，他有复杂的病史，因全身无力到医院就诊，发现血糖明显升高。在患者住院的早期，他出现腹痛，并被发现存在小肠梗阻，原因是末端回肠内的腔内迁移手术网片嵌顿。通过手术缓解了肠梗阻，顺利取出了网片并进行了回肠-盲肠切除术。手术网片迁移是疝修补和腹壁重建的一种相对罕见的并发症，而腔内网片迁移则更为罕见。我们的病例展示了关键的临床和影像学特征，是此类病例表现的一个重要示例。
