Abuassi Mohammad, Joulani Walid, Sammodi Emad, Eftaiha Mohamed, Obed Aiman
Internal Medicine Department, College of Medicine, University of Central Florida, Gainesville, FL.
Department of Hepatology, Gastroenterology and Hepatobiliary/Transplant Unit, Jordan Hospital, Ibn Sina University for Medical Sciences, Amman, Jordan.
ACG Case Rep J. 2024 Sep 19;11(9):e01475. doi: 10.14309/crj.0000000000001475. eCollection 2024 Sep.
Hernia repair frequently employs surgical mesh. However, potential complications exist, including mesh migration into adjacent organs, leading to serious outcomes such as enteric fistulas. We report an unprecedented case of composite mesh leading to gastric penetration and subsequent gastrocutaneous fistula formation, identified during endoscopic investigation as a foreign body. A 70-year-old man who underwent right hemicolectomy and incisional hernia repair using composite mesh presented in with symptoms of intestinal obstruction and a small bowel content leak. Following these complications, a small bowel resection was performed, and an ileostomy was created. During an endoscopic investigation, the composite mesh used in the hernia repair during the ileostomy creation was found as a foreign body penetrating the gastric antral area, causing a gastrocutaneous fistula. An exploratory laparotomy was successfully carried out. This case highlights the need to consider mesh-related complications and advocates for research into prevention and management of such adverse outcomes.
疝气修补术经常使用外科补片。然而，存在潜在并发症，包括补片移入邻近器官，导致诸如肠瘘等严重后果。我们报告了一例前所未有的复合补片导致胃穿孔及随后形成胃皮肤瘘的病例，在内镜检查中发现该补片为异物。一名70岁男性，曾接受右半结肠切除术及使用复合补片的切口疝修补术，出现肠梗阻症状及小肠内容物漏出。出现这些并发症后，进行了小肠切除术并造了回肠造口。在内镜检查期间，发现造回肠造口时疝气修补术中使用的复合补片作为异物穿透胃窦区域，导致胃皮肤瘘。成功实施了剖腹探查术。该病例凸显了考虑补片相关并发症的必要性，并提倡对预防和处理此类不良后果进行研究。
