Abstract
We present an 85-year-old male patient with persistent irritative symptoms and recurrent bladder stones after being treated twice with cystolitholapaxy. The patient had a history of left inguinal hernia, repaired 24 years ago. The provisional diagnosis was recurrent stones due to a bladder outlet obstruction, and imaging revealed possible stones inside a bladder diverticulum. We did not expect the stones to be a complication of synthetic mesh, and eventually the stones failed to be crushed by mechanical lithotriptor. The patient was explored, the stones were removed, and we found the mesh penetrating the left wall of urinary bladder (UB) with dense adhesion to the left pelvic wall. For a radical cure, the mesh with part of the UB wall had to be removed and repaired, but in view of this unexpected event, the patient required general after spinal anesthesia. The postoperative procedure passed uneventfully.
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References
Gossetti F, D'Amore L, Annesi E et al (2019) Mesh-related visceral complications following inguinal hernia repair: an emerging topic. Hernia 23(4):699–708
Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10(1):79–82
Li WB, Chen XL, Zhan HL, Yang F, Liu BL, Zhou XF (2014) Hernia mesh migration into bladder presenting as malignancy: potential source of diagnostic errors. Hernia 18(6):903–906
Xie W, Yao Y, Xu X, Zhang J (2019) Mesh erosion into urinary bladder with calculi formation after inguinal hernioplasty: a rare case report. Urol Case Rep 24:100590
Ngo T (2006) Surgical mesh used for an inguinal herniorrhaphy acting as a nidus for a bladder calculus. Int J Urol 13(9):1249–1250
Li J, Cheng T (2019) Mesh erosion into urinary bladder, rare condition but important to know. Hernia 23(4):709–716
Funada S, Kanno T, Otsuka K, Kubota M, Nishiyama R, Okada T, Kitaoka A, Higashi Y, Yamada H (2016 Sep) Laparoscopic partial cystectomy with excision of mesh migration into the bladder following repair of inguinal hernia. Urol Case Rep 8:52–54
Iida K, Hoshiyama F, Tanaka M, Fujimoto K (2017) A case of intravesical foreign body by erosion of surgical mesh used for an inguinal hernia repair. Hinyokika kiyo Acta urologica Japonica 63(10):421–425
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Mohamed Mohamed Elawdy: Conceptualization, study design, literature search, and manuscript writing.
Emad E. Mousa: Manuscript writing.
Samer El-Halwagy: Operative work and reviewing of the manuscript.
Ahmed Mohamed Eltanahy: Operative work and reviewing of the manuscript.
Mohamed M Salaheldin: Operative work.
Yasser A.Razek: Manuscript writing, radiology images acquisition, and comments.
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Elawdy, M.M., Mousa, E.E., El-Halwagy, S. et al. Hernia Mesh Migration into Urinary Bladder a Cause of Recurrent Stones: A Case Report. Indian J Surg 83, 321–323 (2021). https://doi.org/10.1007/s12262-020-02321-9
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DOI: https://doi.org/10.1007/s12262-020-02321-9