Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation.
A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.
Nowak
D D
DD
Department of Surgery, University of Illinois at Chicago, M/C 958 840 S. Wood St. Room 435E, Chicago, IL 606012, USA.
Chin
A C
AC
Singer
M A
MA
Helton
W S
WS
D000328:Adult; D001201:Ascites / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D008297:Male; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D012008:Recurrence; D012086:Reoperation; D012611:Scrotum / Q000473:pathology* / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*