title: Intraperitoneal Migration of a Mesh Plug from a Hernioplasty Forming a Colocutaneous Fistula with the Cecum: Report of a Case.
abstract: Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years previously. Recovery was uneventful until he experienced inflammation of the groin, and required open drainage three times for a refractory abscess in his right groin. Additional colonoscopy and x-ray examinations with contrast medium clearly demonstrated a mesh plug that had migrated and penetrated the cecum, forming a colocutaneous fistula. The mesh was successfully removed under general anesthesia, and the inflammation in the groin resolved.
authors.affiliation: Department of Surgery, Kamisu Saiseikai Hospital.
authors.forename: Kumiko
authors.initials: K
authors.lastname: Sekiguchi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Mizuguchi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Mamada
authors.forename: Michihiro
authors.initials: M
authors.lastname: Koizumi
authors.forename: Eiji
authors.initials: E
authors.lastname: Uchida
mesh_terms: D002429:Cecal Diseases / Q000473:pathology*; D003108:Colonic Diseases / Q000473:pathology*; D005402:Fistula; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012871:Skin Diseases / Q000473:pathology*; D013526:Surgical Mesh / Q000009:adverse effects*