Colon diverticulosis adherent to mesh plug migration after laparoscopic hernia repair: A case study and review of literature

• Published in: International journal of surgery case reports 2021-10, Vol.87, p.106403-106403, Article 106403
• Main Authors: Behbehani, Mousa, AlAtwan, Abrar A., AlHaddad, Abdullah
• Format: Article
• Language: English
• Subjects: Case Report; Diverticulosis; Mesh hernia repair; Mesh migration
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2021.106403

Inguinal hernia repair has evolved from open suture methods to mesh repair which is preformed either open or laparoscopically. Mesh hernia repair has improved the outcome in regards to patient care and recurrence rate but it is also associated with a number of complications. The complications of mesh hernia repair such as deep seated infections, mesh erosion and mesh perforation into nearby viscera has been scarcely reported in literature. We report a 43 years old male case of diverticulosis adherent to a migrated mesh plug from previous laparoscopic inguinal hernia repair procedure. The choice of mesh material, appropriate suture placement and closure of the peritoneum after mesh repair is very crucial to avoid long term mesh complications. The aim of this case report is to present a rare complication of mesh erosion with colovesical fistula and abscess formation. •Inguinal hernia repair is one of the most common procedures performed in surgical practice.•Mesh hernia repair has improved patient outcomes; regardless it is associated with some complications.•Mesh migration as a complication should be thought of in patients presenting with acute abdomen.