title: Chronic abdominal pain secondary to mesh erosion into ceacum following incisional hernia repair: a case report and literature review.
abstract: Incisional hernias following abdominal operations are a common complication. Mesh is frequently employed in repair of these hernias. Mesh migration is an infrequent occurrence. We present the case of transmural mesh migration from the abdominal wall into the ceacum presenting as chronic abdominal pain. Given the popularity of minimally invasive surgery utilizing polypropylene mesh for incisional hernia repair, related complications such as postoperative hematoma and seroma, foreign body reaction, organ injury, infection, mesh rejection and fistula are increasingly being noted. Most of the mesh migrations reported in the literature involve the urinary bladder. We present a case of delayed mesh migration into the ceacum. Mesh migration is a rare and peculiar complication that is rarely reported in the literature. A review of the literature shows that there are no other cases of mesh migration into ceacum several years after open type incisional hernia repair.
authors.affiliation: Penn State Hershey Medical Center, 500 University Drive, MC, Hershey, PA 17033, USA.
authors.forename: Fahad
authors.initials: F
authors.lastname: Aziz
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Misbah
authors.initials: M
authors.lastname: Zaeem
keywords: Ceacum erosion; Chronic abdominal pain; Hernioplasty complication; Mesh migration