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Abstract Aim This case report aims to document and analyze a rare complication of mesh migration following laparoscopic inguinal hernioplasty. Methods We present the case of a 77-year-old male with a history of recurrent bilateral inguinal hernioplasty, the most recent procedure performed 17 years ago via laparoscopy. The patient presented with years of suprapubic pain, prompting investigation through abdominopelvic CT, revealing a metallic density image in the painful region and right inguinal hernia recurrence. Cystoscopy was performed observing mesh erosion into the urinary bladder. Surgical intervention was indicated. Results Open partial cystectomy, small bowel resection and anastomosis and recurrence herniorraphy was performed. The intraoperative findings confirmed the migration of the mesh into the bladder and its adherence to the intestine. Postoperative complication was intestinal ileus. Patient's symptoms were attributed to this rare complication, highlighting the importance of thorough evaluation in cases of persistent urinary symptoms or chronic pelvic pain post-hernioplasty. Conclusions Mesh migration following hernioplasty is an infrequent but significant complication. Persistent urinary symptoms or chronic pelvic pain should prompt suspicion of this pathology. The multidisciplinary approach is crucial for the effective management of such cases, emphasizing the need for thorough clinical evaluation and surgical intervention when necessary. This case underscores the importance of ongoing vigilance in post-hernioplasty patients, particularly those with atypical symptoms, to ensure timely diagnosis and appropriate intervention.
Martin-Ramos et al. (Wed,) studied this question.