腹股溝疝氣修補術後絲網移入膀胱內的罕見病例
林憲雄1、2、盧致誠1、林嘉禾1、范文宙1、鄭哲舟1
柳營奇美醫院 外科部 泌尿科1
敏惠醫護管理專科學校2
Mesh migration into the urinary bladder after inguinal hernia repair: a rare case report
Chian-Shiung Lin1、2, Chih-Cheng Lu1, Chia-Ho Lin 1, Eric W. Fan1, Tse-Chou Cheng1
Divisions of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan City, Taiwan1
Min-Hwei Junior College of Health Care Management, Tainan City, Taiwan2
Mesh migration to adjacent organs after inguinal hernia repair is an unusual complication. Here we report a case of 56-year-old male admitted to our hospital with acute urinary retention and urinary tract infection 7 days after right inguinal hernia repair. Pseudomonas aeruginosa was confirmed in urine culture. Abdominal ultrasound showed a tubular structure of foreign body in urinary bladder. Computed tomography revealed a part of the mesh penetrating into the bladder and lobulated fluid at hernia repair area. Cystoscopy demonstrated a bulge in the right anterolateral wall with an opening adjacent to it, through which a part of the mesh could be visualized. Partial cystectomy with excision of wall containing the mesh was performed. Pathology of bladder specimen showed hemorrhage and chronic active inflammation with focal abscess formation.