title: Intraperitoneal mesh prosthesis metastasis from pancreatic cancer, after laparoscopic hernia repair.
abstract: Introduction There are very few case reports of metastasis on a mesh prosthesis following laparoscopic hernia repair in the literature and its incidence is completely unknown. Case report A 76-year-old male patient presented in December 2013 with a suspicious malignant lesion of the pancreatic tail on the MRI. He was also complaining of a painful mass in the right para-rectal area. An exploratory laparoscopy performed in December 2013 revealed microscopic whitish peritoneal implants in the left hypochondrium and a massive metastasis involving a mesh prosthesis placed é years before in the right para-rectal area. The pathology report of biopsies of the mesh confirmed a metastasis compatible with a pancreatic tumor. Discussion Possible modes of metastasis and limited published data to date on mesh prosthesis metastasis are presented. This situation can be assimilated to port-site metastasis after laparoscopy. Conclusion A mesh prosthesis metastasis after laparoscopic hernia repair is very rare.
authors.affiliation: a Medicosurgical Department of Gastroenterology , ERASME University Hospital , Brussels , Belgium.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Simonelli
authors.affiliation: a Medicosurgical Department of Gastroenterology , ERASME University Hospital , Brussels , Belgium.
authors.forename: Carine
authors.initials: C
authors.lastname: Boven
authors.affiliation: a Medicosurgical Department of Gastroenterology , ERASME University Hospital , Brussels , Belgium.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Loi
authors.affiliation: a Medicosurgical Department of Gastroenterology , ERASME University Hospital , Brussels , Belgium.
authors.forename: Issam
authors.initials: I
authors.lastname: El Nakadi
authors.affiliation: a Medicosurgical Department of Gastroenterology , ERASME University Hospital , Brussels , Belgium.
authors.forename: Jean
authors.initials: J
authors.lastname: Closset
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery*; D000368:Aged; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009362:Neoplasm Metastasis; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D010529:Peritoneal Cavity; D049268:Positron-Emission Tomography / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Laparoscopic hernia repair; mesh prosthesis metastasis; peritoneal carcinosis; port-site metastasis; staging surgery