Haddad A, Yahia D Bel Haj, Chaker Y, Maghrebi H, Daghfous A, Kacem M J
Surgery department A, Rabta Hospital, Rue Jbel Lakhdar, La Rabta Jebbari 1007, Tunis, Tunisia; The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Surgery department A, Rabta Hospital, Rue Jbel Lakhdar, La Rabta Jebbari 1007, Tunis, Tunisia; The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Int J Surg Case Rep. 2021 Jul;84:106088. doi: 10.1016/j.ijscr.2021.106088. Epub 2021 Jun 9.
The use of mesh has become nowadays a standard for hernia repairs. It allows a tension-free hernioplasty and has shown that it is an effective way to prevent recurrences. But complications have been described. Intraperitoneal migration of mesh plug is an uncommon complication.
In this paper we report a case of a 57 year old male who has been operated on 12 years ago, he had a mesh plug repair for a ventral incisional hernia. The mesh migrated into the abdominal cavity and it was wrongfully taken for a locally advanced right colon cancer. Colonoscopy was done and biopsies were taken, but the results were not conclusive. He was operated on. We found the mesh that had migrated and eroded the hepatic flexure. There was a granulation tissue that also included some of the small intestine. There was also an abscess in the abdominal wall. He had an en-bloc resection of a part of the abdominal wall, small intestine and right colon.
Mesh hernioplasty is a frequent, simple and effective procedure with a low recurrence rate but it can be associated to serious complications such as mesh migration.
如今，使用补片已成为疝修补术的标准方法。它能实现无张力疝修补术，并且已证明是预防复发的有效方法。但也有并发症的相关报道。补片塞子腹腔内移位是一种罕见的并发症。
在本文中，我们报告一例57岁男性患者，他12年前接受过手术，因腹直肌切口疝接受了补片塞子修补术。补片移位至腹腔，被误诊为局部进展期右结肠癌。进行了结肠镜检查并取了活检，但结果不明确。患者接受了手术。我们发现移位的补片侵蚀了肝曲。有肉芽组织，其中还包含部分小肠。腹壁也有一个脓肿。患者接受了腹壁部分、小肠和右半结肠的整块切除。
补片疝修补术是一种常见、简单且有效的手术，复发率低，但可能会伴有如补片移位等严重并发症。
