Hernia Mesh Migration into Urinary Bladder a Cause of Recurrent Stones: A Case Report
| Autor: | Mohamed M. Salaheldin, Yasser A. Razek, Mohamed Mohamed Elawdy, Emad E. Mousa, Samer El-Halwagy, Ahmed Mohamed Eltanahy |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urinary bladder business.industry Adhesion (medicine) medicine.disease Surgery 03 medical and health sciences Plastic surgery Bladder outlet obstruction 0302 clinical medicine medicine.anatomical_structure Cardiothoracic surgery 030220 oncology & carcinogenesis Medicine 030211 gastroenterology & hepatology Bladder stones business Complication Bladder diverticulum |
| Zdroj: | Indian Journal of Surgery. 83:321-323 |
| ISSN: | 0973-9793 0972-2068 |
| Popis: | We present an 85-year-old male patient with persistent irritative symptoms and recurrent bladder stones after being treated twice with cystolitholapaxy. The patient had a history of left inguinal hernia, repaired 24 years ago. The provisional diagnosis was recurrent stones due to a bladder outlet obstruction, and imaging revealed possible stones inside a bladder diverticulum. We did not expect the stones to be a complication of synthetic mesh, and eventually the stones failed to be crushed by mechanical lithotriptor. The patient was explored, the stones were removed, and we found the mesh penetrating the left wall of urinary bladder (UB) with dense adhesion to the left pelvic wall. For a radical cure, the mesh with part of the UB wall had to be removed and repaired, but in view of this unexpected event, the patient required general after spinal anesthesia. The postoperative procedure passed uneventfully. |
| Databáze: | OpenAIRE |
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