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Large foreign body reaction to tension-free vaginal tape masquerading as inguinal hernia

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Abstract

We report a case of a 73-year-old woman who presented to general surgery with a tender lump in the groin 5 years after insertion of a tension-free vaginal tape. The lesion was thought to be an incarcerated inguinal hernia. Emergency surgical exploration revealed a 7 × 5 × 4 cm soft tissue mass which was adherent to the external inguinal ring, emanating from the end of the tension-free vaginal tape at the level of the symphysis pubis. Resection and histological examination revealed a central track of granulation tissue with a surrounding foreign body inflammatory response. The surgery was complicated by an infected seroma requiring surgical drainage and antibiotic therapy, following which the patient made a full recovery. Large foreign body reaction is a rare but an important complication of tension-free vaginal tapes and may be mistaken for a groin hernia or lymphadenopathy.

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Acknowledgements

The authors would like to thank Dr. Baffour Amo-Takyi for his assistance in producing the photomicrographs.

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Authors and Affiliations

  1. Department of Surgery and Cancer, Imperial College, Chelsea & Westminster Hospital, 369 Fulham Road, London, SW9 9NH, UK

    Alexander C. von Roon

  2. Department of Obstetrics and Gynaecology, Chelsea & Westminster Hospital, 369 Fulham Road, London, SW9 9NH, UK

    Pippa Letchworth & Michael Stafford

Authors
  1. Alexander C. von Roon
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  2. Pippa Letchworth
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  3. Michael Stafford
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Correspondence to Alexander C. von Roon.

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von Roon, A.C., Letchworth, P. & Stafford, M. Large foreign body reaction to tension-free vaginal tape masquerading as inguinal hernia. Int Urogynecol J 22, 1193–1195 (2011). https://doi.org/10.1007/s00192-011-1412-5

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  • DOI: https://doi.org/10.1007/s00192-011-1412-5

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