Wu JF, Chen J, Hong F. Intestinal erosion caused by meshoma displacement: A case report. World J Gastrointest Surg 2023; 15(1): 114-120 [PMID: 36741064 DOI: 10.4240/wjgs.v15.i1.114]
Corresponding Author of This Article
Fang Hong, MD, Attending Doctor, Department of Gynaecology and Obstetrics, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, No. 3 Qingchun East Road, Hangzhou 310016, Zhejiang Province, China. delphine920@126.com
Research Domain of This Article
Emergency Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2023; 15(1): 114-120 Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.114
Intestinal erosion caused by meshoma displacement: A case report
Jin-Feng Wu, Jian Chen, Fang Hong
Jin-Feng Wu, Jian Chen, Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang Province, China
Fang Hong, Department of Gynaecology and Obstetrics, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou 310016, Zhejiang Province, China
Author contributions: Chen J provided a lot of help in the operation; Hong F provided help in the polishing of language; Wu JF contributed to manuscript writing and editing; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fang Hong, MD, Attending Doctor, Department of Gynaecology and Obstetrics, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, No. 3 Qingchun East Road, Hangzhou 310016, Zhejiang Province, China. delphine920@126.com
Received: September 28, 2022 Peer-review started: September 28, 2022 First decision: November 27, 2022 Revised: November 30, 2022 Accepted: December 23, 2022 Article in press: December 23, 2022 Published online: January 27, 2023
Abstract
BACKGROUND
A meshoma formation and erosion to the small intestine is rare. Herein, we report one case of a meshoma that was not treated early; causing it to displace and erode the small intestine, with infection, complete control of symptoms was achieved after removal of the infected patch mass, no recurrence of hernia after 2 years of follow-up.
CASE SUMMARY
A 62-year-old male patient presented with recurrent abdominal pain repeatedly for 1 wk, which has worsened 2 d before admition, accompanied by fever. Five years before presentation he underwent right inguinal hernia Plug and patch repair approach. Two years ago, a computed tomography scan revealed a right lower abdominal mass with soft tissue density, measuring approximately 30 mm × 17 mm, which was diagnosed as meshoma that was not treated. The patient had poorly controlled diabetes in the past year.
CONCLUSION
The formation of meshoma is rare, and that if not treated in time it might erode and require resection of the involved organ.
Core Tip: The formation of meshoma increases the risk of infection. According to the literature, keep the surgical field clean when placing the mesh, pay attention to the flatness of the mesh, avoid curling and folding, and avoid any direct contact with the viscera. After the formation of the meshoma, surgery to remove the meshoma as early as possible is recommended.
