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Hernia. 2005 Mar;9(1):96-9. Epub 2004 Jul 24.

Large scrotal hernia: a complicated case of mesh migration, ascites, and bowel strangulation.

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Department of Surgery, University of Illinois at Chicago, M/C 958 840 S. Wood St. Room 435E, Chicago, IL 606012, USA.


A 30-year-old male with 1 1/2-year history of an asymptomatic, large, reducible right indirect scrotal hernia presented to the emergency department complaining of a 2-week history of increasing abdominal distension and daily emesis. He had recently undergone an emergent exploratory laparotomy in which his asymptomatic hernia was repaired with a mesh plug from an intra-abdominal approach. The mesh plug subsequently migrated into the patient's scrotum resulting in a strangulating bowel obstruction. This paper discusses a serious complication that may result from inappropriate use and placement of a mesh plug and our approach to correct the situation utilizing a bioabsorbable mesh prosthesis.

[Indexed for MEDLINE]

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