title: Obscure Overt Gastrointestinal Bleeding Secondary to Ventral Hernioplasty Mesh Small Bowel Perforation Visualized With Video Capsule Endoscopy.
abstract: We report a case of a 79-year-old female presenting with hematemesis and melena 9 years after ventral hernioplasty with mesh. After initial normal endoscopy and colonoscopy, video capsule endoscopy revealed a metallic wire mesh perforating the jejunum. Abdominal computed tomography did not identify a perforation although metallic mesh was visualized close to the small bowel. We present the first ventral hernia mesh perforation diagnosed via video capsule endoscopy. Such a finding emphasizes the importance of a complete diagnostic workup when approaching a patient with obscure overt gastrointestinal bleeding.
authors.affiliation: Florida International University Herbert Wertheim College of Medicine, Miami, FL.
authors.forename: Yumi
authors.initials: Y
authors.lastname: Mendez-Ishizaki
authors.affiliation: Florida International University Herbert Wertheim College of Medicine, Department of Gastroenterology, Miami, FL.
authors.forename: Javier L
authors.initials: JL
authors.lastname: Parra