Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report

Introduction: As one of the short-term complications after inguinal hernia repair, mesh infection frequently occurs but rarely leads to ileocutaneous fistula. We present a rare case of ileocutaneous fistula 8 years after inguinal hernia plug repair with polypropylene mesh.Case Presentation: The pati...

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Autores principales:	Jiankang Zhang, Zeming Hu, Xuan Lin, Bin Chen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	laparoscopic exploration mesh late-onset inguinal hernia intestinal fistula case report Surgery RD1-811
Acceso en línea:	https://doaj.org/article/2b23ad7c8c7d485ab43fb3f5e9cd307d
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spelling	oai:doaj.org-article:2b23ad7c8c7d485ab43fb3f5e9cd307d2021-11-15T05:07:04ZLate-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report2296-875X10.3389/fsurg.2021.785087https://doaj.org/article/2b23ad7c8c7d485ab43fb3f5e9cd307d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.785087/fullhttps://doaj.org/toc/2296-875XIntroduction: As one of the short-term complications after inguinal hernia repair, mesh infection frequently occurs but rarely leads to ileocutaneous fistula. We present a rare case of ileocutaneous fistula 8 years after inguinal hernia plug repair with polypropylene mesh.Case Presentation: The patient was a 67-year-old male who underwent a plug repair with polypropylene mesh of the right inguinal hernia. Eight years after the primary repair, skin ulceration with pus presented in the right groin area, and the final diagnosis was enterocutaneous fistula. According to laparoscopic exploration, the ileum below the fistula closely adhered to the abdominal wall. After gently separating the bowel loop, a defect area of about 2 × 3 cm was observed on the surface of the ileum. In laparotomy, the plug was found embedded in the ileum and then was completely removed, and an ileum side-to-side anastomosis was performed. The patient was discharged 2 weeks after the surgery, and follow-up at the sixth month revealed complete healing of the wound and no evidence of hernia recurrence.Conclusion: Late-onset ileocutaneous fistula should be considered in the differential diagnosis in patients who present inflammation and abscess formation after hernia repair. Besides, for patients with suspected intestinal fistula after hernia repair, laparoscopic exploration should be given priority, and the mesh removal approach should be tailored according to the results of laparoscopic exploration.Jiankang ZhangZeming HuXuan LinBin ChenFrontiers Media S.A.articlelaparoscopic explorationmeshlate-onsetinguinal herniaintestinal fistulacase reportSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopic exploration mesh late-onset inguinal hernia intestinal fistula case report Surgery RD1-811
spellingShingle	laparoscopic exploration mesh late-onset inguinal hernia intestinal fistula case report Surgery RD1-811 Jiankang Zhang Zeming Hu Xuan Lin Bin Chen Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
description	Introduction: As one of the short-term complications after inguinal hernia repair, mesh infection frequently occurs but rarely leads to ileocutaneous fistula. We present a rare case of ileocutaneous fistula 8 years after inguinal hernia plug repair with polypropylene mesh.Case Presentation: The patient was a 67-year-old male who underwent a plug repair with polypropylene mesh of the right inguinal hernia. Eight years after the primary repair, skin ulceration with pus presented in the right groin area, and the final diagnosis was enterocutaneous fistula. According to laparoscopic exploration, the ileum below the fistula closely adhered to the abdominal wall. After gently separating the bowel loop, a defect area of about 2 × 3 cm was observed on the surface of the ileum. In laparotomy, the plug was found embedded in the ileum and then was completely removed, and an ileum side-to-side anastomosis was performed. The patient was discharged 2 weeks after the surgery, and follow-up at the sixth month revealed complete healing of the wound and no evidence of hernia recurrence.Conclusion: Late-onset ileocutaneous fistula should be considered in the differential diagnosis in patients who present inflammation and abscess formation after hernia repair. Besides, for patients with suspected intestinal fistula after hernia repair, laparoscopic exploration should be given priority, and the mesh removal approach should be tailored according to the results of laparoscopic exploration.
format	article
author	Jiankang Zhang Zeming Hu Xuan Lin Bin Chen
author_facet	Jiankang Zhang Zeming Hu Xuan Lin Bin Chen
author_sort	Jiankang Zhang
title	Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
title_short	Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
title_full	Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
title_fullStr	Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
title_full_unstemmed	Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report
title_sort	late-onset ileocutaneous fistula eight years after plug repair with polypropylene mesh: a case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2b23ad7c8c7d485ab43fb3f5e9cd307d
work_keys_str_mv	AT jiankangzhang lateonsetileocutaneousfistulaeightyearsafterplugrepairwithpolypropylenemeshacasereport AT zeminghu lateonsetileocutaneousfistulaeightyearsafterplugrepairwithpolypropylenemeshacasereport AT xuanlin lateonsetileocutaneousfistulaeightyearsafterplugrepairwithpolypropylenemeshacasereport AT binchen lateonsetileocutaneousfistulaeightyearsafterplugrepairwithpolypropylenemeshacasereport
_version_	1718428797423845376

Late-Onset Ileocutaneous Fistula Eight Years After Plug Repair With Polypropylene Mesh: A Case Report

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