A Unique Case of Rectosigmoid Mesh Erosion Presenting as Left Thigh Sinus Tract Abscess Following Laparoscopic Sacrocervicopexy

Abdominal sacro-colpopexy (ASC) is a commonly performed procedure for the surgical treatment of pelvic organ prolapse (POP). Surgeons favor this technique because of its well-established success rates ranging from 78-100% and durability, which is attributed to reinforcement of native tissues with a graft. Despite recognition of the risk of erosion, synthetic grafts have been preferred over autologous grafts for ASC because they are durable, avoid the morbidity and operative time of harvesting fascia, are readily available and are relatively inexpensive. Ideally, these benefits should outweigh the possibility of erosion, which is a unique complication of using a graft.We present here a unique case of mesh erosion into bowel after ASC who presented with sigmoido-vaginal fistula.

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Temporal Dermoid Cyst with a Partial Dermal Sinus Tract

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100000470 ◽

1999 ◽

Vol 26 (4) ◽

pp. 321-324 ◽

Cited By ~ 5

Author(s):

Joseph A. Shehadi ◽

Karen M. Johnston ◽

Ibrahim A. Alorainy

Keyword(s):

Dermoid Cyst ◽

Complex Partial Seizure ◽

Sinus Tract ◽

Dermal Sinus ◽

Unique Case ◽

Cutaneous Manifestations ◽

Novel Variant ◽

Dermal Sinus Tract ◽

Adult Female Patient ◽

New Onset

Background:Cranial dermal sinuses are rare and occur most frequently in the posterior fossa and along the midline. Likewise, supratentorial dermoid cysts are very uncommon.Method:We report a unique case of an adult female patient with both a supratentorial dermoid cyst and an incomplete dermal sinus tract.Results:The patient is a 31-year-old female, who presented with a new onset complex partial seizure. Neuroimaging and surgery revealed a right superior temporal dermoid cyst with an associated dermal sinus tract. Furthermore, the dermal sinus tract was incomplete and had no cutaneous manifestations.Conclusion:We present a rare patient with an off midline supratentorial dermoid cyst associated with a uniquely incomplete cranial dermal sinus tract. The dermal sinus tract involved the bone, dura and intradural compartment, without involving the overlying skin. This represents a novel variant in the spectrum of cranial dermal sinus abnormalities.

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A persistent sinus tract from the vagina to the sacrum after treatment of mesh erosion by partial removal of a GORE-TEX Soft Tissue Patch

American Journal of Obstetrics and Gynecology ◽

10.1016/s0002-9378(99)70530-2 ◽

1999 ◽

Vol 181 (3) ◽

pp. 762-763 ◽

Cited By ~ 13

Author(s):

James B. Unger

Keyword(s):

Soft Tissue ◽

Sinus Tract ◽

Mesh Erosion ◽

Partial Removal

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Currarino syndrome presenting as a cerebrospinal fluid leak from the dermal sinus tract: case report

Journal of Neurosurgery Pediatrics ◽

10.3171/2020.1.peds19692 ◽

2020 ◽

Vol 25 (6) ◽

pp. 648-652

Author(s):

Robert B. Kim ◽

Riann Robbins ◽

Michael D. Rollins ◽

Douglas L. Brockmeyer

Keyword(s):

Cerebrospinal Fluid Leak ◽

Sinus Tract ◽

Csf Leak ◽

Dermal Sinus ◽

Unique Case ◽

Currarino Syndrome ◽

Anterior Sacral Meningocele ◽

Dermal Sinus Tract ◽

Fluid Leak ◽

Dominant Condition

Currarino syndrome is an autosomal dominant condition with variable expressivity and penetrance that is associated with several classic features: sacral dysgenesis, presacral mass, and/or anorectal anomalies. The authors present a unique case in which the patient’s initial presentation was a CSF leak from a sinus tract. The sinus tract was identified and disconnected from the thecal sac, obliterating the anterior sacral meningocele. This case represents a unique scenario in which Currarino syndrome manifested as a CSF leak from a dermal sinus tract.

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