A complex fistula caused by an eroding pelvic mesh sling.
Pelvic mesh slings are increasingly used to create abdomino-pelvic partitions. This procedure is usually safe and carries low morbidity and mortality rates. However, we report a case of a 60-year-old male with a history of an abdomino-perineal resection for a low rectal carcinoma followed by adjuvant radiotherapy, who presented with an entero-vesicle-cutaneous fistula as a result of the polypropylene mesh eroding into his small bowel. He had to have a total cystectomy, small bowel resection and mesh removal in order to alleviate his symptoms.
Ihedioha
Ugo
U
Professorial Unit of Surgery, Western Infirmary, Glasgow, G11 6NT, UK. ugoihedioha@hotmail.com
Leung
E
E
Chung
L
L
Burgess
G
G
Hendry
D
D
O'dwyer
P J
PJ
D000230:Adenocarcinoma / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012004:Rectal Neoplasms / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery