, Volume 19, Issue 5, pp 849–852 | Cite as

Chronic abdominal pain after ventral hernia due to mesh migration and erosion into the sigmoid colon from a distant site: a case report and review of literature

  • S. G. Millas
  • T. MesarEmail author
  • R. J. Patel
Case Report


Hernia repair is one of the most commonly performed procedures in general surgery. Use of mesh has been shown to decrease the overall recurrence rate. Mesh implantation, however, carries its own risks and complications. We report a case of a 41-year-old female who presented with nonspecific, chronic lower abdominal pain after ventral hernia repair with mesh implantation. The chronic pain was found to be the consequence of mesh migration and erosion into the sigmoid colon from a previous supraumbilical hernia repair. Hernia repair, use of mesh, and chronic abdominal pain are discussed.


Hernia Ventral Repair Mesh Abdominal pain Migration Erosion Intestine 


Conflict of interest

S.G.M. declares no conflict of interest. T.M. declares no conflict of interest. R.J.P. declares no conflict of interest


  1. 1.
    Luijendijk RW, Hop WC, van den Tol MP et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343(6):392–398CrossRefPubMedGoogle Scholar
  2. 2.
    Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Longterm follow-up of a randomized controlled trial of suture vs mesh repair of incisional hernia. Ann Surg 240(4):578–583 (discussion 583–585)PubMedCentralPubMedGoogle Scholar
  3. 3.
    Townsend CM, Beauchamp RD, Evers MB, Mattox KL (2012) Sabiston textbook of surgery: the biological basis of modern surgical practice. In: Malangoni MA, Rosen MJ (eds) Hernias, Section X, chapter 46, 19th edn. WB Saunders, Philadelphia, pp 1114–1140Google Scholar
  4. 4.
    Subramanian A, Clapp ML, Hicks SC, Awad SS, Liang MK (2013) Laparoscopic ventral hernia repair: Primary versus secondary hernias. J Surg Res 181(1):e1–e5Google Scholar
  5. 5.
    Steinhagen E, Khaitov S, Steinhagen RM (2010) Intraluminal migration of mesh following incisional hernia repair. Hernia 14(6):659–662 (Epub 2010 Jul 24)CrossRefPubMedGoogle Scholar
  6. 6.
    Yilmaz I, Karakaş DO, Sucullu I, Ozdemir Y, Yucel E (2013) A rare cause of mechanical bowel obstruction: mesh migration. Hernia 17(2):267–269Google Scholar
  7. 7.
    Daas AY, Blessy M, David E, Kulkarni P (2009) An unexpected mass: mesh migration into the cecum following inguinal hernia repair. Gastroenterol Hepatol 5:361–363Google Scholar
  8. 8.
    Benedetti M, Albertario S, Niebel T, Bianchi C, Tinozzi FP, Monglia P (2005) Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia 9:93–95CrossRefPubMedGoogle Scholar
  9. 9.
    Doctor HG (2006) Evaluation of various prosthetic materials and newer meshes for hernia repair. J Minim Access Surg 2(3):110–116PubMedCentralCrossRefPubMedGoogle Scholar
  10. 10.
    Gandhi D, Marcin S, Xin Z, Asha B, Kaswala D, Zamir B (2011) Chronic abdominal pain secondary to mesh erosion into cecum following incisional hernia repair: a case report and literature review. Ann Gastroenterol 24(4):321–324PubMedCentralPubMedGoogle Scholar
  11. 11.
    Lange B, Langer C, Markus PM, Becker H (2003) Mesh penetration of the sigmoid colon following a transabdominal preperitoneal hernia repair. Surg Endosc 17:157CrossRefPubMedGoogle Scholar
  12. 12.
    Nelson EC, Vidovszky TJ (2011) Composite mesh migration into the sigmoid colon following ventral hernia repair. Hernia 15(1):101–103PubMedCentralCrossRefPubMedGoogle Scholar
  13. 13.
    Tollens T, Den Hondt M, Devroe K et al (2011) Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the Ventralex™ hernia patch. Hernia 15:531–540CrossRefPubMedGoogle Scholar
  14. 14.
    Gronnier C, Wattier JM, Favre H, Piessen G, Mariette C (2012) Risk factors for chronic pain after open ventral repair by the underlay mesh placement. World J Surg 36:1548–1554CrossRefPubMedGoogle Scholar
  15. 15.
    Singh Bedi AP, Bhatti T, Amin A, Zuberi J (2007) Laparoscopic incisional and ventral hernia repair. J Minim Access Surg 3(3):83–90CrossRefGoogle Scholar
  16. 16.
    Campanelli G, Pascual MH, Hoeferlin A et al (2012) Randomized, controlled, blinded trial of Tisseel/Tussucol for mesh fixation in patients undergoing Lichenstein technique for primary inguinal hernia repair: results of the TIMELI trial. Ann Surg 255(4):650–657CrossRefPubMedGoogle Scholar
  17. 17.
    Canziani M, Frattini F, Cavalli M et al (2009) Sutureless mesh fibrin glue incisional hernia repair. Hernia 13:625–629CrossRefPubMedGoogle Scholar
  18. 18.
    D’Amore L, Gossetti F, Manto O, Negro P (2012) Mesh plug repair: can we reduce of plug erosion into the sigmoid colon? Hernia 16(4):495–496CrossRefPubMedGoogle Scholar
  19. 19.
    Witkowski P, Abbonante F, Fedorov I et al (2007) Are mesh anchoring sutures necessary in ventral hernioplasty? Multicenter study. Hernia 11(6):501–508CrossRefPubMedGoogle Scholar
  20. 20.
    Grommes J, Binnebösel M, Klink CD, von Trotha KT, Junge K, Conze J (2010) Different methods of mesh fixation in open retromuscular incisional hernia repair: a comparative study in pigs. Hernia 14(6):623–627CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Texas, Health Science Center in HoustonHoustonUSA
  2. 2.Department of SurgeryUniversity of Texas Medical School in HoustonHoustonUSA

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