Mesh Granuloma with Bladder Invasion After Total Extra-Peritoneal Hernia Repair: case report

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Published: Feb 3, 2023
Keywords:
Mesh granuloma hernia repair surgical complications

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Mana Sirapat
Department of surgery, Bhumibol Adulyadej Hospital, Directorate of Medical Services, Royal Thai Air Force.Department of surgery, Bhumibol Adulyadej Hospital, Directorate of Medical Services, Royal Thai Air Force.
Setthasiri Pantanakul
Department of surgery, Bhumibol Adulyadej Hospital, Directorate of Medical Services, Royal Thai Air Force.
Nattawut Chiemchaisri
Department of surgery, Bhumibol Adulyadej Hospital, Directorate of Medical Services, Royal Thai Air Force.
Arpa Pornpetchpracha
Department of Pathology, Bhumibol Adulyadej Hospital, Directorate of Medical Services, Royal Thai Air Force.
Panot Yimcharoen
Department of surgery, Chandrubeksa Hospital, Directorate of Medical Services, Royal Thai Air Force.

Abstract

Mesh granuloma is a rare complication after hernia repair with synthetic mesh reinforcement. This condition relates to a complex immunologic response to foreign materials. The presented case is a male patient who suffering from gross hematuria and had a history of totally extraperitoneal repair of left inguinal hernia eight years ago. There was a soft tissue mass encased with mesh that invade the dome of urinary bladder as demonstrated by CT scan. He was treated with open excision and the mesh granuloma was reported.

Article Details

Issue
Vol. 68 No. 3 (2022): september - December
Section
Case Reports
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References

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Kise, H., Shibahara, T., Hayashi, N., Arima, K., Yanagawa, M., & Kawamura, J. (1999). Paravesical Granuloma after Inguinal Herniorrhaphy. Urol Int, 220-222.