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Pneumaturia and Colonic Bleeding Post-Inguinal Herniorrhaphy: A Case Report

Authors :
Raymond A. Dieter
Source :
Uro, Vol 4, Iss 4, Pp 197-203 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Introduction: A 51-year-old male was seen complaining of pneumaturia and bowel complaints, including blood per rectum. The patient related a history of an open left inguinal hernia repair utilizing a Kugel mesh ten years before. Case Presentation: Cystoscopy and colonoscopy demonstrated a hemorrhagic mass due to a prosthetic mesh protruding into the bladder and colon. Following colonoscopy and cystoscopy, a large inflammatory mass involving both the colon and urinary bladder was resected, which contained a rolled-up “tubular” mesh structure. After primary repair of the urinary bladder and placement of a Foley catheter, the sigmoid colon and mesh were resected, and the colonic anastomosis was completed. Outcome: Postoperatively, the patient progressed well with normal colon and bladder function after the removal of the Foley catheter. Discussion: Historically, the patient demonstrated the risk of major multiorgan surgical complications of a newer inguinal hernia repair technique, which may occur even a decade or more after the initial surgical correction and is, therefore, presented.

Details

Language :
English
ISSN :
26734397
Volume :
4
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Uro
Publication Type :
Academic Journal
Accession number :
edsdoj.7b86cfbbcd5f4a1eb4061af14c76e0b9
Document Type :
article
Full Text :
https://doi.org/10.3390/uro4040013