切口疝修补术后36年补片迁移至乙状结肠并发结皮瘘1例。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-13 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf306
Suleiman Khaddour, Ahed Assaf, Saja Karaja, Mousa Barboura, William Borghol, Khaled Isa
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引用次数: 0

摘要

本文报告一位67岁男性患者,在切口疝修补手术后,因补片移位而并发结皮瘘管形成。我们的患者有因枪伤而开腹手术的病史,随后出现切口疝,随后用补片植入修复。进一步检查显示网状物迁移到乙状结肠,需要进行剖腹手术。虽然补片放置的一些并发症是众所周知的,但补片迁移到乙状结肠仍然是一种极其罕见的并发症,特别是在如此长的时间后,文献中仅报道了少数腹股沟疝病例。该病例强调了考虑补片移位的重要性,尽管罕见,但对于先前疝气修复的患者,无论手术后的持续时间如何,作为潜在的诊断。它强调需要进一步的研究,以建立随访指南的网状物放置的患者(参考图形摘要)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mesh migration to the sigmoid colon complicated by the formation of colocutaneous fistula 36 years post incisional hernia repair: a case report.

This article provides clinical insights into a rare instance of mesh patch migration complicated by colocutaneous fistula formation occurring post incisional hernia repair operation in a 67-year-old male. Our patient had a history of laparotomy due to a gunshot wound, followed by the development of an incisional hernia which was subsequently repaired with mesh implantation. Further examinations suggested mesh migration to the sigmoid colon, necessitating him to undergo laparotomy. While some complications from mesh placement are well known, mesh migration to the sigmoid colon remains an extremely rare complication, particularly after such an extended period, and only reported in the literature in few cases with inguinal hernia. This case underscores the importance of considering mesh migration, although rare, as a potential diagnosis in patients with prior hernia repairs, regardless of the elapsed duration since surgery. It emphasizes the need for further research to establish follow-up guidelines for patients with mesh placement (refer to graphical abstract).

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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