PT  - JOURNAL ARTICLE
AU  - Patel, Reeya
AU  - Reid, Thomas H
AU  - Parker, Sam G
AU  - Windsor, Alistair
TI  - Intraluminal mesh migration causing enteroenteric and enterocutaneous fistula: a case and discussion of the ‘mesh problem’
AID  - 10.1136/bcr-2017-223476
DP  - 2018 Apr 17
TA  - BMJ Case Reports
PG  - bcr-2017-223476
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2017-223476.short
4100  - http://casereports.bmj.com/content/2018/bcr-2017-223476.full
AB  - The use of synthetic mesh in the abdominal compartment has recently become a topic of debate as high profile public cases have called into question their safety. Several case reports have demonstrated significant complications due to intra-abdominal mesh. Furthermore, some studies have suggested that the rates of these severe complications are underestimated. We present the case of a patient who developed an enteroenteric and enterocutaenous fistulae, an abdominal wall collection and an intraperitoneal inflammatory mass from intraluminal migration of a synthetic mesh inserted during laparoscopic incisional hernia repair. We discuss the considerations and complications of using synthetic mesh for ventral hernia repair and discuss the scientific evidence behind the increasingly apparent ‘mesh problem’.