Intraperitoneal mesh prosthesis metastasis from pancreatic cancer, after laparoscopic hernia repair

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...

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Published in:Acta chirurgica belgica 2016-02, Vol.116 (1), p.51-53
Main Authors: Simonelli, Vincenzo, Boven, Carine, Loi, Patrizia, El Nakadi, Issam, Closset, Jean
Format: Article
Language:English
Subjects:
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Adenocarcinoma - diagnosis
Adenocarcinoma - surgery
Aged
Hernia, Inguinal - diagnosis
Hernia, Inguinal - surgery
Herniorrhaphy - adverse effects
Herniorrhaphy - methods
Humans
Laparoscopy - methods
Magnetic Resonance Imaging - methods
Male
Neoplasm Metastasis
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - surgery
Peritoneal Cavity
Positron-Emission Tomography - methods
Rare Diseases
Risk Assessment
Surgical Mesh - adverse effects
Tomography, X-Ray Computed - methods
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Summary: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.
ISSN:0001-5458
DOI:10.1080/00015458.2016.1139831