-Case Reports-

Intraperitoneal Migration of a Mesh Plug from a Hernioplasty Forming a Colocutaneous Fistula with the Cecum: Report of a Case

Kumiko Sekiguchi¹, Yoshiaki Mizuguchi², Yasuhiro Mamada², Michihiro Koizumi² and Eiji Uchida²

¹Department of Surgery, Kamisu Saiseikai Hospital
²Department of Surgery, Nippon Medical School

Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years previously. Recovery was uneventful until he experienced inflammation of the groin, and required open drainage three times for a refractory abscess in his right groin. Additional colonoscopy and x-ray examinations with contrast medium clearly demonstrated a mesh plug that had migrated and penetrated the cecum, forming a colocutaneous fistula. The mesh was successfully removed under general anesthesia, and the inflammation in the groin resolved.

J Nippon Med Sch 2015; 82: 246-249

Keywords
mesh plug, colocutaneous fistula, hernioplasty

Correspondence to
Kumiko Sekiguchi, Department of Surgery, Kamisu Saiseikai Hospital, 7-2-45 Sittechuo, Kamisu-shi, Ibaraki 314-0112, Japan
sekiguchikumiko@nms.ac.jp

Received, December 15, 2014
Accepted, February 23, 2015