title: Small-bowel obstruction and bladder injury due to retropubic sling malposition in the peritoneal cavity.
abstract: We report a case of small-bowel obstruction caused by an internal hernia produced by the presence of an intraperitoneal sling mesh. A woman with a history of multiple abdominal surgeries was referred from another center after a sling procedure. On the fifth day after surgery, she developed small-bowel obstruction. Exploratory laparotomy showed the distal ileum compressed between the visceral peritoneum of the bladder and a loop mesh sling. The segment of ileum was repositioned into the peritoneal cavity and the sling segment was resected. In cases of small-bowel obstructions after a mesh surgery, one must be aware of the possibility of bowel entrapment and that the mere presence of intraperitoneal tape can trigger the obstruction.
authors.affiliation: Department of Surgery, Discipline of Urology, Universidade Estadual de Londrina, Rua Francisco Marcelino da Silva, 270, Londrina, Paraná, Brazil. salmeida@sercomtel.com.br
authors.forename: Sílvio Henrique Maia
authors.initials: SH
authors.lastname: de Almeida
authors.forename: Ricardo
authors.initials: R
authors.lastname: Brandina
authors.forename: Vinicius
authors.initials: V
authors.lastname: Dall'Aqua
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D010535:Laparoscopy; D010529:Peritoneal Cavity; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries*; D014549:Urinary Incontinence / Q000601:surgery