BMJ Case Reports 2013; doi:10.1136/bcr-2012-008179
  • Case Report

Near-fatal small bowel ischaemia secondary to sacrocolpopexy mesh

  1. Attavar Srilekha
  1. Queen's Hospital, Romford, UK
  1. Correspondence to Paul Vulliamy, paul.vulliamy{at}


A 74-year-old woman presenting with acute abdominal pain underwent surgery for suspected small bowel ischaemia. At laparotomy, a sacrocolpopexy mesh in the pelvis, which had been inserted 8 years previously, was found to be causing strangulation of a 2-m length of the small bowel. Following resection and primary anastomosis, the patient spent several days in intensive care before her eventual discharge. This unusual life-threatening complication should be considered in patients presenting with abdominal pain even many years following abdominal sacrocolpopexy.

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