Complete transmural gastric migration of PTFE mesh after surgery for a recurrent hiatal hernia.

V. Porziella, A. Cesario, F. Lococo, S. Margaritora, G. Leuzzi, M. Marchese, L. Petruzziello, G. Costamagna, P. Granone

Research output: Contribution to journalArticle

Abstract

Complications directly associated with the use of prosthetic materials in large hiatal hernia repair are rarely cited events in the literature. We herein report a case of a 47 year-old woman who came to our attention for a subacute onset of severe dysphagia and weight loss. She previously underwent laparotomic Nissen fundoplication with PTFE dual-mesh cruroplasty for a large recurrent hiatal hernia. With the clinical suspicious of "Tight Nissen", an endoscopy was performed and revealed a circular stenosis in the lower esophagus, a rotation of the stomach and, surprisingly, the presence of PTFE mesh free-moving in the gastric lumen With the use of rattooth forceps, the foreign body was removed and, after few days, the patient underwent a surgical debridement of hiatal scar tissue and a gastropexy procedure. In conclusion, dysphagia may manifest during the early postoperative period after mesh repair antireflux surgery, but such dysphagia usually resolves; if it doesn't or if it worsens, mesh migration must be excluded.

Original languageEnglish
Pages (from-to)42-43
Number of pages2
JournalEuropean Review for Medical and Pharmacological Sciences
Volume16 Suppl 4
Publication statusPublished - Oct 2012

    Fingerprint

ASJC Scopus subject areas

  • Medicine(all)
  • Pharmacology (medical)

Cite this