Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation

A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in whi...

Full description

Saved in:
Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2005-03, Vol.9 (1), p.96-99
Main Authors: Nowak, D D, Chin, A C, Singer, M A, Helton, W S
Format: Article
Language:English
Subjects:
Adult
Ascites - etiology
Ascites - surgery
Follow-Up Studies
Foreign-Body Migration - complications
Foreign-Body Migration - surgery
Herniorrhaphy
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Male
Prosthesis Implantation - adverse effects
Prosthesis Implantation - instrumentation
Recurrence
Reoperation
Scrotum - pathology
Scrotum - surgery
Surgical Mesh - adverse effects
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-004-0260-3