scholarly journals Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Jiankang Zhang ◽  
Zeming Hu ◽  
Xuan Lin ◽  
Bin Chen

Introduction: As one of the short-term complications after inguinal hernia repair, mesh infection frequently occurs but rarely leads to ileocutaneous fistula. We present a rare case of ileocutaneous fistula 8 years after inguinal hernia plug repair with polypropylene mesh.Case Presentation: The patient was a 67-year-old male who underwent a plug repair with polypropylene mesh of the right inguinal hernia. Eight years after the primary repair, skin ulceration with pus presented in the right groin area, and the final diagnosis was enterocutaneous fistula. According to laparoscopic exploration, the ileum below the fistula closely adhered to the abdominal wall. After gently separating the bowel loop, a defect area of about 2 × 3 cm was observed on the surface of the ileum. In laparotomy, the plug was found embedded in the ileum and then was completely removed, and an ileum side-to-side anastomosis was performed. The patient was discharged 2 weeks after the surgery, and follow-up at the sixth month revealed complete healing of the wound and no evidence of hernia recurrence.Conclusion: Late-onset ileocutaneous fistula should be considered in the differential diagnosis in patients who present inflammation and abscess formation after hernia repair. Besides, for patients with suspected intestinal fistula after hernia repair, laparoscopic exploration should be given priority, and the mesh removal approach should be tailored according to the results of laparoscopic exploration.

2019 ◽  
Vol 12 (9) ◽  
pp. e220408
Author(s):  
Willem AR Zwaans ◽  
Marc RM Scheltinga ◽  
Rudi MH Roumen

We describe a case of attachment of an appendix vermiformis following an inguinal hernia plug repair according to Rutkow and Robbins. A 62-year-old man presented at our outpatient clinic with a progressive sensation of tightness in the right groin area, painful urge of miction and long-lasting nausea with abdominal discomfort. During an open groin exploration, the appendix was found attached to an intraperitoneally located plug. The appendix and plug were removed with an uneventful recovery. During follow-up, the patient was free of groin pain and miction had normalised. Surprisingly, his long-lasting nausea and abdominal discomfort had disappeared as well.


2005 ◽  
Vol 201 (6) ◽  
pp. 834-840 ◽  
Author(s):  
Asım Cingi ◽  
Manuk N. Manukyan ◽  
Bahadır M. Güllüoḡlu ◽  
Afşar Barlas ◽  
Cumhur Yeḡen ◽  
...  

2016 ◽  
Vol 77 (9) ◽  
pp. 2303-2310 ◽  
Author(s):  
Takashi SUZUKI ◽  
Nobuki ICHIKAWA ◽  
Sayuri KASHIWAKURA ◽  
Tomohiro ISHIKAWA ◽  
Takeshi TSUJI ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Maxwell C. Breitinger ◽  
Evan H. Roszkowski ◽  
Adam J. Bauermeister ◽  
Andrew A. Rosenthal

Duplication of the vas deferens is a rare anomaly, defined as the presence of two distinct vasa deferentia within one spermatic cord, with only 28 cases reported worldwide since 1959. We report the case of a 63-year-old man with a duplicate vas deferens, presenting with abdominal pain from bowel obstruction secondary to incarcerated inguinal hernia. Spermatic cord dissection during hernioplasty revealed duplication of the vas deferens within the right spermatic cord. Doppler ultrasonography confirmed absence of waveforms in both vasa deferentia with arterial signal in the accompanying vessel. The hernia was repaired without complication. This report emphasizes recognition of duplicate vas deferens in avoiding iatrogenic injury and optimizing surgical outcome.


2001 ◽  
Vol 233 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Mehmet A. Yerdel ◽  
Emin B. Akin ◽  
Sukru Dolalan ◽  
Ahmet G. Turkcapar ◽  
Mevlut Pehlivan ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document