Skip to main content
SpringerLink
Log in

Marlex mesh mimicking an adnexal malignancy

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Hernia post-operative repair problems are infrequent and easily managed, but plug migration can be a more complicated event. Mesh plug migration is very uncommon and rarely presents as a suspected malignancy. We document a case involving a 79-year-old woman who exhibited a complex right-sided cystic mass that was presumed to be an adnexal malignancy. However, following surgery, the retroperitoneal mass was actually a PerFix mesh plug that migrated from an initial hernia surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Halverson K, McVay CB (1970) Inguinal and femoral hernioplasty. Arch Surg 101:127–132

    PubMed  CAS  Google Scholar 

  2. Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82

    Article  PubMed  CAS  Google Scholar 

  3. Moorman ML, Price PD (2004) Migrating mesh plug: complication of a well-established hernia repair technique. Am Surg 70:298–299

    PubMed  Google Scholar 

  4. Amid PK, Shulman AG, Lichtenstein IL (1992) Selecting synthetic mesh for the repair of groin hernia. Postgrad Gen Surg 4:150–155

    Google Scholar 

  5. Martin R, Shurelli S, Classen JN (1982) Polypropylene mesh in 450 repairs: evaluation of wound infections. Contemp Surg 20:46–49

    Google Scholar 

  6. Kingsnorth AN, Porter CS, Bennett DH, Walker AJ, Hyland ME, Sodergren S (2000) Lichtenstein patch or Perfix plug-and-patch in inguinal hernia: a prospective double-blind randomized controlled trial of short-term outcome. Surgery 127:276–283

    Article  PubMed  CAS  Google Scholar 

  7. Bingol-Kologlu M, Fedakar M, Yagmurlu A, Dindar H, Gokçora IH (2006) An exceptional complication following appendectomy: acute inguinal and scrotal suppuration. Int Urol Nephrol 38:663–665

    Article  PubMed  Google Scholar 

  8. Ferrone R, Scarone PC, Natalini G (2003) Late complication of open inguinal hernia repair:small bowel obstruction caused by intraperitoneal mesh migration. Hernia 7:161–162

    Article  PubMed  Google Scholar 

  9. Benedetti M, Albertario S, Niebel T, Bianchi C, Tinozzi FP, Moglia P, Arcidiaco M, Tinozzi S (2005) Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia 9:93–95

    Article  PubMed  CAS  Google Scholar 

  10. Ojo P, Abenthroth A, Fiedler P, Yavorek G (2006) Migrating mesh mimicking colonic malignancy. Am Surg 72:1210–1211

    PubMed  Google Scholar 

  11. Silver RI, Docimo SG (2000) A ventriculoperitoneal shunt masquerading as a paratesticular tumor. J Pediatr Surg 35:1407–1408

    PubMed  CAS  Google Scholar 

  12. Goswami R, Babor M, Ojo A (2007) Mesh erosion into caecum following laparoscopic repair of inguinal hernia (TAPP): a case report and literature review. J Laparoendosc Adv Surg Tech A 17:669–672

    Article  PubMed  Google Scholar 

  13. Koch A, Edwards A, Haapaniemi S, Nordin P, Kald A (2005) Prospective evaluation of 6895 groin hernia repairs in women. Br J Surg 92:1553–1558

    Article  PubMed  CAS  Google Scholar 

  14. Nilsson H, Stylianidis G, Haapamäki M, Nilsson E, Nordin P (2007) Mortality after groin hernia surgery. Ann Surg 245:656–660

    Article  PubMed  Google Scholar 

  15. Celik A, Kutun S, Kockar C, Mengi N, Ulucanlar H, Cetin A (2005) Colonoscopic removal of inguinal hernia mesh. Report of a case and literature review. J Laparoendosc Adv Surg Tech A 15:408–410

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was approved by the Institutional Review Board and complied with all current United States rules and regulations for research study.

Author information

Authors and Affiliations

  1. Gynecologic Oncology Associates, Hoag Memorial Hospital Cancer Center, 351 Hospital Road, Suite 507, Hoag Drive, Newport Beach, CA, 92663, USA

    M. A. Rettenmaier, J. P. Micha, J. V. Brown III & B. H. Goldstein

  2. Department of Pathology, Hoag Memorial Hospital Presbyterian, 1 Hoag Drive, Newport Beach, CA, USA

    S. Heinemann

  3. Department of Radiology, St. Joseph Hospital, 1100W. Stewart Dr., Orange, CA, 92868, USA

    H. Truong

Authors
  1. M. A. Rettenmaier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Heinemann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Truong
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. P. Micha
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. V. Brown III
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. B. H. Goldstein
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. H. Goldstein.

Additional information

This study was supported by a grant from the Women’s Cancer Research Foundation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rettenmaier, M.A., Heinemann, S., Truong, H. et al. Marlex mesh mimicking an adnexal malignancy. Hernia 13, 221–223 (2009). https://doi.org/10.1007/s10029-008-0426-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-008-0426-5

Keywords

Search

Navigation