Severe Mesh Graft Infection Consecutive to a Perforated Acute
Appendicitis 8 Years After Transabdominal Laparoscopic Right Inguinal
Hernia Repair: A Review of the Literature.
Case Report
Journal of Pelvic Medicine & Surgery. 11(5):275-277, September/October
2005.
Sebbag, Gilbert MD; Ovnat, Amnon MD; Shaked, Gad MD; Dukhno, Oleg MD;
Levy, Isaac MD, FACS
Abstract:
A case of severe infection in a right inguinal hernia mesh graft after a
perforated appendicitis is presented in a 47-year-old man. The patient had a
right inguinal hernia repair 8 years ago, with polypropylene mesh graft, placed
by a transabdominal laparoscopic approach. He is now operated by an open
approach for a perforated acute appendicitis. In the postappendectomy
period, he presented with recurrent right lower fossae abscesses drained first
under computed tomography guidance. The patient fully recovered only after
surgical removal of the infected mesh graft. To our knowledge, there is no
report of such a complication of perforated appendicitis after a transabdominal
laparoscopic mesh graft repair of an inguinal hernia.
(C) 2005 Lippincott Williams & Wilkins, Inc.