title: A calcified foreign body in the bladder due to : an unusual complication after laparoscopic incisional hernia repair.
abstract: We report a rare complication caused by a displaced tack after laparoscopic incisional hernia repair. A 41-year-old woman treated 11 months earlier for a suprapubic incisional hernia (Pfannenstiel laparotomy) received a laparoscopic repair with a bilaminar mesh fixed with tacks. Seven months later, she presented miccional irritative symptoms and chronic lower abdominal pain. Leucocyturia and microhematuria were present, and computerized tomography showed 2 calcified nodules in the bladder wall. Cystoscopy confirmed 2 calcified foreign bodies in the bladder due the tack fixation. She underwent an intra-abdominal laparoscopic exploration, which showed the protrusion of a mesh in the urinary bladder. The tacks were removed and a partial laparoscopic cystectomy including mesh protrusion was performed. The patient was discharged from hospital 4 days later without postoperative complications. At follow-up 24 months after surgery, she remains well with no pain, urinary symptoms, or hernia recurrence.
authors.affiliation: Department of General and Laparoscopic Surgery, Hospital General d'Igualada, Avda, Catalunya, Igualada, Barcelona, Spain. 16255xfp@comb.es
authors.forename: Xavier
authors.initials: X
authors.lastname: Feliu
authors.forename: Ramon
authors.initials: R
authors.lastname: Claveria
authors.forename: Pere
authors.initials: P
authors.lastname: Besora
authors.forename: Dionisio
authors.initials: D
authors.lastname: Luque
authors.forename: Xavier
authors.initials: X
authors.lastname: Viñas
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000328:Adult; D002114:Calcinosis / Q000209:etiology / Q000473:pathology*; D005260:Female; D005547:Foreign Bodies / Q000473:pathology* / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects; D001743:Urinary Bladder / Q000473:pathology* / Q000601:surgery