Urology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Urology, SMS Medical College and Attached Hospital, Jaipur, Rajasthan, India
BMJ Case Rep. 2020 Dec 22;13(12):e236987. doi: 10.1136/bcr-2020-236987.
A 52-year-old man presented with lower urinary tract symptoms and intermittent haematuria for the last 6 months. He had undergone totally extraperitoneal right inguinal hernia repair a decade ago. The ultrasonography and an X-ray of the pelvis suggested a large radio-opaque shadow in the bladder. However, CT revealed an encrusted intravesical extension of the migrated mesh along the right anterolateral wall. The entire intravesical part of the migrated mesh with encrustations was successfully retrieved by endourological approach using holmium laser. The patient symptomatically improved and at follow-up, cystoscopy showed a complete re-epithelisation of the bladder mucosa. The intravesical extension of migrated mesh is a rare but challenging complication following mesh hernioplasty and can be successfully managed with a complete endoscopic approach.
一位 52 岁男性，因下尿路症状和间歇性血尿就诊，持续时间为 6 个月。他在 10 年前接受了完全腹膜外右侧腹股沟疝修补术。超声和骨盆 X 线片提示膀胱内有一个大的不透射线阴影。然而，CT 显示迁移网片沿着右侧前外侧壁在膀胱内有一个包壳样的延伸。通过使用钬激光的内镜方法成功地取出了整个膀胱内有包壳的迁移网片。患者症状明显改善，随访时膀胱镜检查显示膀胱黏膜完全上皮化。网片迁移后的膀胱内延伸是网片疝修补术后罕见但具有挑战性的并发症，可以通过完全内镜方法成功治疗。
