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Mesh on the move: a case report of total transmural surgical mesh migration causing bowel obstruction

Abstract

We present the case of a 60-year-old man with a complex medical history, presenting to the hospital with generalized weakness and found to be markedly hyperglycemic. Early in the patient’s hospital course, he developed abdominal pain and was found to have a small bowel obstruction secondary to intraluminal migrated surgical mesh entrapped in the terminal ileum. The bowel obstruction was relieved surgically with uncomplicated mesh removal and ileocecectomy. Surgical mesh migration is a relatively rare complication of hernia repair and abdominal wall reconstruction, and intraluminal mesh migration is an even more rare variant. Our case demonstrates key clinical and imaging features and serves as an important example of how such cases may present.

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Correspondence to Joseph Ryan Leach.

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Joseph Leach, Bryan Manoukian, and Lygia Stewart declare that they have no conflict of interest.

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Informed consent was obtained from all the patients for being included in the study.

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Leach, J.R., Manoukian, B. & Stewart, L. Mesh on the move: a case report of total transmural surgical mesh migration causing bowel obstruction. Clin J Gastroenterol 14, 136–140 (2021). https://doi.org/10.1007/s12328-020-01291-5

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Keywords

  • Mesh
  • Mesh migration
  • Hernioplasty
  • Bowel obstruction