Sigmoido-vesical fistula secondary to hernia mesh migration; a long-term rare complication of laparoscopic transabdominal preperitoneal inguinal hernia repair
DOI:
https://doi.org/10.18203/2349-2902.isj20231757Keywords:
Sigmoido-vesical fistula, Enterovesical fistula, Hernia mesh migration, Complication of lap hernia repairAbstract
A 47-year old male presented with frequent urinary tract infections (UTIs), hematuria and pneumaturia with a past history of laparoscopic bilateral inguinal hernia repair 5 years ago. Ultrasonography (USG) and contrast enhanced computed tomography did not furnish any evidence to arrive at a diagnosis, interestingly, cystoscopy revealed a mesh in the urinary bladder making apparent the diagnosis of Sigmoido-vesical fistula secondary to mesh migration. Later, surgical removal of the mesh from the sigmoid colon and urinary bladder with rent closure of the fistulous opening was done successfully. Our case thus, highlights the long-term rare complication of transabdominal preperitoneal (TAPP) surgery.
References
Golabek T, Szymanska A, Szopinski T, Bukowczan J, FurmanekM, Powroznik J et al. Enterovesical fistulae: aetiology, imaging, and management. Gastroenterol Res Pract. 2013;2013:617967.
McCormack K, Scott NW, Go PM, Ross S, Grant AM, EU HerniaTrialists Collaboration. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database SystRev. 2003:CD001785.
Muschalla F, Schwarz J, Bittner R. Effectivity of laparoscopicinguinal hernia repair (TAPP) in daily clinical practice: early and long-term result. Surg Endosc. 2016;30:4985-94.
Agrawal A, Avill R. Mesh migration following repair of inguinalhernia: a case report and review of literature. Hernia. 2006;10:79-82.
Su YR, Chan PH. Mesh migration into urinary bladder after open ventral herniorrhaphy with mesh: a case report. Int Surg. 2014;99(4):410-3.
Asano H, Yajima S, Hosoi Y, Takagi M, Fukano H, Ohara Y et al. Mesh penetrating the cecum and bladder following inguinal hernia surgery: a case report. J Med Case Rep. 2017;11(1):260.
Akimoto T, Kakutani S, Kamei J, Kume H, Fujimura T, Enomoto Y. Clinical characteristics of patients with inguinal hernia mesh migration into the bladder. IJU Case Rep. 2022;5(4):276-9.
Iida K, Hoshiyama F, Tanaka M, Fujimoto K. A Case of Intravesical Foreign Body by Erosion of Surgical Mesh Used for an Inguinal Hernia Repair. Hinyokika Kiyo. 2017;63(10):421-5.
Hamouda A, Kennedy J, Grant N, Nigam A, Karanjia N. Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg? Hernia. 2010;14(3):317-9.
Li J, Cheng T. Mesh erosion into urinary bladder, rare condition but important to know. Hernia. 2019;23(4):709-16.
