title: Chronic abdominal pain after ventral hernia due to mesh migration and erosion into the sigmoid colon from a distant site: a case report and review of literature.
abstract: Hernia repair is one of the most commonly performed procedures in general surgery. Use of mesh has been shown to decrease the overall recurrence rate. Mesh implantation, however, carries its own risks and complications. We report a case of a 41-year-old female who presented with nonspecific, chronic lower abdominal pain after ventral hernia repair with mesh implantation. The chronic pain was found to be the consequence of mesh migration and erosion into the sigmoid colon from a previous supraumbilical hernia repair. Hernia repair, use of mesh, and chronic abdominal pain are discussed.
authors.affiliation: Department of Surgery, University of Texas, Health Science Center in Houston, Houston, TX, USA.
authors.forename: S G
authors.initials: SG
authors.lastname: Millas
authors.affiliation: Department of Surgery, University of Texas Medical School in Houston, Houston, TX, USA. tmesar@mgh.harvard.edu.
authors.forename: T
authors.initials: T
authors.lastname: Mesar
authors.affiliation: Department of Surgery, University of Texas, Health Science Center in Houston, Houston, TX, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Patel
mesh_terms: D015746:Abdominal Pain / Q000209:etiology* / Q000601:surgery; D000328:Adult; D059350:Chronic Pain / Q000209:etiology* / Q000601:surgery; D012809:Colon, Sigmoid / Q000473:pathology*; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D013526:Surgical Mesh / Q000009:adverse effects*
keywords: Abdominal pain; Erosion; Hernia; Intestine; Mesh; Migration; Repair; Ventral