title: An unusual finding in the follow-up of a transabdominal pre-peritoneal (TAPP) implanted mesh for inguinal hernia.
abstract: BACKGROUND
  Abnormalities around titanium stapled sites are not well described in the literature. Existence of staple granulomas or neoplasms on titanium stapled sites used in TAPP procedures is unknown.
  
  
  METHODS
  We report a case in which differentiation of suspected staple granuloma or neoplasm around a titanium staple, used to secure the mesh in a TAPP procedure, could not be made other than by pathologic examination.
  
  
  CONCLUSIONS
  This case emphasises that although the appearance of the lesion may be suspected for staple granuloma, the possibility of a malignant neoplasm should always be considered.
authors.affiliation: Department of General and Abdominal Surgery, Imeldaziekenhuis vzw, Bonheiden, Belgium. rajaram.roycoemar@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Rajaram
authors.forename: Chr
authors.initials: C
authors.lastname: Aelvoet
mesh_terms: D000008:Abdominal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D015745:Granuloma, Foreign-Body / Q000175:diagnosis; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D013526:Surgical Mesh; D013537:Sutures / Q000009:adverse effects