腹腔镜部分性膀胱切除术与网状疝修复后网状结构移入膀胱

Laparoscopic Partial Cystectomy With Excision of Mesh Migration Into the Bladder Following Repair of Inguinal Hernia

Migration of hernia mesh into the bladder is a rare complication of inguinal hernioplasty. We present the case of an 85-year-old man who complained of hematuria and fever some 20 years after right hernioplasty. Cystoscopy and computed tomography revealed mesh migration into the right anterior wall of the bladder. Laparoscopic partial cystectomy with excision of the migrated mesh was performed successfully. To our knowledge, this is the first case of mesh migration into the bladder treated by laparoscopic partial cystectomy.

Keywords: Inguinal hernia, Mesh migration, Bladder, Laparoscopic cystectomy

腹腔镜部分性膀胱切除术与网状疝修复后网状结构移入膀胱

Figure 1. (A) axial and (B) coronal section of CT. Contrast-enhanced CT showing a thick stone adhered to the anterior bladder wall (arrow).

腹腔镜部分性膀胱切除术与网状疝修复后网状结构移入膀胱

Figure 2. Cystoscopy showing mesh migration (arrow) with calcification on the right anterior bladder wall.

腹腔镜部分性膀胱切除术与网状疝修复后网状结构移入膀胱

Figure 3. Trocar placement (A), intraoperative findings (BeD), and gross findings (E). (A) Trocar placement: circles, 12 mm; square, 5 mm. (B) The bladder insufflated with air via a urethral catheter. The arrow shows the insufflated bladder. (C) Incision of the bladder wall around the migrated mesh (arrow). (D) Suturing of the opened bladder wall with 3/0 V-Loc. (E) Gross findings showing the migrated mesh with calcification.

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