Large neomucosal space 25 years after mesh repair of ventral hernia.
A 64-year-old, otherwise healthy, male patient presented with a malodorous abdominal wall fistula of recent onset. He gave a history of mesh repair of ventral hernia 25 years ago. Computed tomography scan of the abdomen revealed a 15 cm x 15 cm thick-walled cavity inside the abdomen adjacent to bowel loops and the prosthetic mesh. Resection of the mass included a 25-cm segment of small bowel. Histopathology revealed a thick-walled large cavity lined with mucosa, surrounding a large wrinkled sheet of permanent mesh.
Losanoff
Julian E
JE
Surgical Service, John D. Dingell Veterans Administration Medical Center, Detroit, MI, USA. jelosanoff@yahoo.com
Salwen
Walter A
WA
Basson
Marc D
MD
Levi
Edi
E
D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D017577:Cutaneous Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D007413:Intestinal Mucosa / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh / Q000009:adverse effects*