Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation.

Abstract

A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.

• Authors: D D Nowak, A C Chin, M A Singer, W S Helton
• Journal: Hernia : the journal of hernias and abdominal wall surgery (Hernia) Vol. 9 Issue 1 Pg. 96-9 (Mar 2005) ISSN: 1265-4906 [Print] France
• PMID: 15278766 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Ascites (etiology, surgery)
• Follow-Up Studies
• Foreign-Body Migration (complications, surgery)
• Herniorrhaphy
• Humans
• Intestinal Obstruction (etiology, surgery)
• Male
• Prosthesis Implantation (adverse effects, instrumentation)
• Recurrence
• Reoperation
• Scrotum (pathology, surgery)
• Surgical Mesh (adverse effects)