Abstract
Despite the benefits of using surgical meshes to repair abdominal and inguinal hernias, there are increasing reports of mesh migration into the gastrointestinal and urinary tracts—a complication that cannot be overlooked or neglected. Resolution of such cases can be difficult and depends on the degree of migration and the anatomical site involved. The present paper reports the case of a 68-year-old patient undergoing a trans-ureteral resection of a possible bladder malignancy diagnosed following clinical and radiological evaluation. During the procedure (cytoscopy), it was found that migration of a mesh was mimicking the urological disease initially suspected. A polypropylene mesh had been inserted into the right inguinal region 20 years previously to repair an inguinal hernia. This is one of only a few case reports on mesh migration presenting as a suspected bladder malignancy.
References
Riaz AA, Ismail M, Barsam A, Bunce CJ (2004) Mesh erosion into the bladder: a late complication of incisional hernia repair. A case report and review of the literature. Hernia 8:158–159
Lauwers P, Bracke B, Hubens G, Vaneerdeweg W (2003) Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg 103:513–516
Lopes RI, Dias AR, Lopes SI, Cordeiro MD, Barbosa CM, Lopes RN (2008) A calcified foreign body in the bladder after laparoscopic inguinal hernia repair. Hernia 12:91–93
Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82
Bodenbach M, Bschleipfer T, Stoschek M, Beckert R, Sparwasser C (2002) Intravesical migration of a polypropylene mesh implant 3 years after laparoscopic transperitoneal hernioplasty. Urology A 41:366–368
Kurukahvecioglu O, Ege B, Yazicioglu O, Tezel E, Ersoy E (2007) Polytetrafluoroethylene prosthesis migration into the bladder after laparoscopic hernia repair: a case report. Surg Laparosc Endosc Percutan Tech 17:474–476
Chowbey PK, Bagchi N, Goel A, Sharma A, Khullar R, Soni V, Baijal M (2006) Mesh migration into the bladder after TEP repair: a rare case report. Surg Laparosc Endosc Percutan Tech 16:52–53
Rieger N, Brundell S (2002) Colovesical fistula secondary to laparoscopic transabdominal preperitoneal polypropylene (TAPP) mesh hernioplasty. Surg Endosc 16:218–219
Jensen JB, Jønler M, Lund L (2004) Recurrent urinary tract infection due to hernia mesh erosion into the bladder. Scand J Urol Nephrol 38:438–439
Hume RH, Bour J (1996) Mesh migration following laparoscopic inguinal hernia repair. J Laparoendosc Surg 6:333–335
Savioz D, Ludwig C, Leissing C, Bolle JF, Bühler L, Morel P (1997) Repeated macroscopic haematuria caused by intravesical migration of a preperitoneal prosthesis. Eur J Surg 163:631–632
Thyssen JP, Thind PO, Stimpel HR (2003) Recurring urinary tract infection following an unexpected foreign body in the bladder. Ugeskr Laeger 165:3833
Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N (2010) Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia 14:317–319
Szitkar B, Yzet T, Auquier M, Robert B, Lafaye-Boucher N, Verhaeghe P, Remond A (2010) Late complications from abdominal wall surgery: report of three cases of mesh migration into hollow viscus. J Radiol 91:59–64
Lichtenstein IL, Shulman AG, Amid PK, Willis PA (1990) Hernia repair with polypropylene mesh. An improved method. AORN J 52:559–565
Rettenmaier MA, Heinemann S, Truong H, Micha JP, Brown JV III, Goldstein BH (2009) Marlex mesh mimicking an adnexal malignancy. Hernia 13:221–223
Ojo P, Abenthroth A, Fiedler P, Yavorek G (2006) Migrating mesh mimicking colonic malignancy. Am Surg 72:1210–1211
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Novaretti, J.P.T., Silva, R.D.P., Cotrim, C.A.C. et al. Migration mesh mimicking bladder malignancy after open inguinal hernia repair. Hernia 16, 467–470 (2012). https://doi.org/10.1007/s10029-010-0760-2
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DOI: https://doi.org/10.1007/s10029-010-0760-2