Colovesical fistula secondary to hernia mesh migration: an unusual incident

We evaluated a 27-year old male with pneumaturia and fecaluria with a past history of right inguinal hernia repair. Though, cystoscopy and contrast enhanced computed tomography did not furnish any evidence to arrive at a diagnosis, interestingly, colonoscopy revealed a mesh in the sigmoid colon maki...

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Bibliographic Details
Published in:Journal of Coloproctology 2017-06, Vol.37 (2), p.144-146
Main Authors: Ramanathan, Sabarinathan, Krishnamoorthy, Veeraraghavan, Ratnakar, Kini, Thangavel, Pugazhendhi, Sundarraj, Raju
Format: Article
Language:English
Subjects:
Case Report
Colovesical fistula
Fístula colovesical
GASTROENTEROLOGY & HEPATOLOGY
Inguinal hernia repair
Mesh migration
Migração de rede
Poliomielite
Poliomyelitis
Reparo de hérnia inguinal
SURGERY
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Summary:We evaluated a 27-year old male with pneumaturia and fecaluria with a past history of right inguinal hernia repair. Though, cystoscopy and contrast enhanced computed tomography did not furnish any evidence to arrive at a diagnosis, interestingly, colonoscopy revealed a mesh in the sigmoid colon making apparent the diagnosis of colovesical fistula secondary to mesh migration. Later, surgical removal of the mesh from the sigmoid colon with rent closure of the fistulous opening was done successfully. Our case thus, highlights the vital role of common diagnostic tool like colonoscopy in making an uncommon diagnosis. Avaliamos um homem de 27 anos com pneumaturia e fecalúria com antecedentes de reparo da hérnia inguinal direita. Embora a cistoscopia e a tomografia computadorizada com contraste (TCC) não tenham fornecido nenhuma evidência para obter-se um diagnóstico, curiosamente, a colonoscopia revelou uma malha no cólon sigmoide, estabelecendo o diagnóstico de fístula colovesical (FCV) secundária à migração da malha. Mais tarde, foi feita a remoção cirúrgica da malha do cólon sigmoide com fechamento da abertura fistulosa com sucesso. Nosso caso, portanto, destaca o papel vital de uma ferramenta diagnóstica comum, como a colonoscopia, para obter-se um diagnóstico incomum.
ISSN:2237-9363
2317-6423
2317-6423
DOI:10.1016/j.jcol.2016.10.002