Near-fatal small bowel ischaemia secondary to sacrocolpopexy mesh.
A 74-year-old woman presenting with acute abdominal pain underwent surgery for suspected small bowel ischaemia. At laparotomy, a sacrocolpopexy mesh in the pelvis, which had been inserted 8 years previously, was found to be causing strangulation of a 2-m length of the small bowel. Following resection and primary anastomosis, the patient spent several days in intensive care before her eventual discharge. This unusual life-threatening complication should be considered in patients presenting with abdominal pain even many years following abdominal sacrocolpopexy.
Queen's Hospital, Romford, UK. paul.vulliamy@gmail.com
Paul
P
Vulliamy
Alison May
AM
Berner
Muhammad Suleman
MS
Farooq
Attavar
A
Srilekha
D000368:Aged; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply* / Q000601:surgery; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery