Sigmoido-vesical fistula secondary to hernia mesh migration; a long-term rare complication of laparoscopic transabdominal preperitoneal inguinal hernia repair

Anuj Mehta; Nilay Kandoi; Meet Godhani; Kotha Nikhil Reddy; Vishva Patel

doi:10.18203/2349-2902.isj20231757

Authors

Anuj Mehta Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Nilay Kandoi Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Meet Godhani Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Kotha Nikhil Reddy Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Vishva Patel Department of General Surgery, New Civil Hospital, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20231757

Keywords:

Sigmoido-vesical fistula, Enterovesical fistula, Hernia mesh migration, Complication of lap hernia repair

Abstract

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.

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