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Large scrotal hernia: A complicated case of mesh migration, ascites, and bowel strangulation

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Abstract

A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient’s scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.

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Acknowledgements

We would like to thank Lloyd M. Nyhus for his help and guidance in the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Surgery, University of Illinois at Chicago, M/C 958 840 S. Wood St. Room 435E, Chicago, IL 606012 , USA

    D. D. Nowak, A. C. Chin, M. A. Singer & W. S. Helton

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  1. D. D. Nowak
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  2. A. C. Chin
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  3. M. A. Singer
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  4. W. S. Helton
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Correspondence to W. S. Helton.

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Nowak, D.D., Chin, A.C., Singer, M.A. et al. Large scrotal hernia: A complicated case of mesh migration, ascites, and bowel strangulation. Hernia 9, 96–99 (2005). https://doi.org/10.1007/s10029-004-0260-3

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  • DOI: https://doi.org/10.1007/s10029-004-0260-3

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