The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.
Migration has been highlighted as a serious complication of open inguinal hernia repair with the “plug-and-patch” technique. We used an English language Medline search from 1995 to 2006. Review of the literature found that three cases showed poor surgical technique, one case did not show true migration, another was a case of the wrong operation being done, and in the final case, the patient was in overall very poor health. Mesh plug migration after open inguinal hernia repair can be avoided if proper attention to detail is used at the time of initial repair.
Pneumothorax as a rare complication during laparoscopic total extra-peritoneal inguinal hernia repair: A case report and review of the literature
