Large neomucosal space 25 years after mesh repair of ventral hernia

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• 作者：Julian E. Losanoff ; Walter A. Salwen ; Marc D. Basson ; Edi Levi
• 关键词：Ventral hernia ; Surgical mesh ; Complications ; Fistula ; Neomucosal space
• 刊名：The American Journal of Surgery
• 出版年：2010
• 出版时间：April 2010
• 年：2010
• 卷：199
• 期：4
• 页码：e39-e41
• 全文大小：355 K

文摘

A 64-year-old, otherwise healthy, male patient presented with a malodorous abdominal wall fistula of recent onset. He gave a history of mesh repair of ventral hernia 25 years ago. Computed tomography scan of the abdomen revealed a 15 cm × 15 cm thick-walled cavity inside the abdomen adjacent to bowel loops and the prosthetic mesh. Resection of the mass included a 25-cm segment of small bowel. Histopathology revealed a thick-walled large cavity lined with mucosa, surrounding a large wrinkled sheet of permanent mesh.