Infected inguinal hernia mesh presenting as pseudotumor of the bladder.
Pseudotumors are uncommon benign tumors considered as a reactive inflammatory lesion. We report a case of a 53-year-old male with a history of right laparoscopic hernia repair and now referred for suspected urachal cyst. Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder. During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh. Postoperative histopathological examination revealed inflammatory pseudotumor. With only one comparable case described, an infected mesh presenting as pseudotumor of the bladder is extremely rare.
VU University Medical Center, Amsterdam, The Netherlands.
Remco M
RM
Dubbeling
Kamalakannan
K
Ramesh
Infected mesh; laparoscopic hernia repair; pseudotumor