Advertisement

Hernia

, Volume 18, Issue 1, pp 141–144 | Cite as

Giant pseudocyst of the anterior abdominal wall after incisional hernia mesh repair: a rare case report

  • A. G. Mantelou
  • G. K. Georgiou
  • H. V. Harissis
Case Report

Introduction

Incisional hernia repair is nowadays a common surgical procedure, usually involving the implantation of a synthetic mesh to reinforce the abdominal wall restoration or bridge the hernia defect and thus prevent recurrence. Post-operative seromas and hematomas comprise the most frequent early surgical-site complications. A very rare, late complication after mesh repair of an abdominal wall hernia is the formation of a giant pseudocyst. This complication was first described in 1993 by Waldrep et al. [1], who reported two cases of ventral hernia repair with Marlex mesh. Since then only 25 other such cases have been reported in the literature [2]. However, some authors suggest that it may be an underreported complication and its true incidence may still be underestimated [2, 3, 4]. Its prevalence in two clinical researches has been estimated to be as high as 0.45 % [3] and 0.88 % [2].

In this report, we present the case of a giant pseudocyst that gradually developed over a...

Keywords

Abdominal Wall Hernia Repair Incisional Hernia Polypropylene Mesh Mesh Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

References

  1. 1.
    Waldrep DJ, Shabot MM, Hiatt JR (1993) Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: a newly described pathologic entity. Am Surg 59:716–718PubMedGoogle Scholar
  2. 2.
    Ielpo B, Cabeza J, Jimenez D et al (2011) Abdominal pseudocyst complicating incisional hernia repair: our experience and literature review. Hernia 15:233–237PubMedCrossRefGoogle Scholar
  3. 3.
    Ogunbiyi SO, Morris-Stiff G, Sheridan WG (2004) Giant mature cyst formation following mesh repair of hernias: an underreported complication? Hernia 8:166–168PubMedCrossRefGoogle Scholar
  4. 4.
    Mehrotra PK, Ramachandran CS, Goel D, Arora V (2006) Giant pseudocyst of the anterior abdominal wall following mesh repair of incisional hernia: a rare complication managed laparoscopically. Hernia 10:192–194PubMedCrossRefGoogle Scholar
  5. 5.
    Ielpo B, Lapuente F, Martin P et al (2012) First cases of giant pseudocyst complicating inguinal hernia repair. Hernia 16:589–591PubMedCrossRefGoogle Scholar
  6. 6.
    Mayagoitia JC, Almaraz A, Diaz C (2006) Two cases of cystic seroma following mesh incisional hernia repair. Hernia 10:83–86PubMedCrossRefGoogle Scholar
  7. 7.
    Sahin-Toth G, Halasz T, Viczian C, Olah T (2007) Late complication after mesh repair of incisional hernias: pseudocyst formation. Magy Seb 60:293–296PubMedCrossRefGoogle Scholar
  8. 8.
    Broekhuysen CL, Nicolai JP (2006) Formation of a pseudocyst following abdominoplasty. Ned Tijdschr Geneeskd 150:2610–2612PubMedGoogle Scholar
  9. 9.
    Scaranelo AM, Davanco RA (2005) Pseudocyst formation after abdominal liposuction-extravasations of Morel-Lavallee on MR images. Br J Plast Surg 58:849–851PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • A. G. Mantelou
    • 1
  • G. K. Georgiou
    • 1
  • H. V. Harissis
    • 1
  1. 1.Department of SurgeryUniversity Hospital of IoanninaIoanninaGreece

Personalised recommendations