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Case Reports in Surgery
Volume 2014, Article ID 412594, 3 pages
http://dx.doi.org/10.1155/2014/412594
Case Report

Transgastric Synthetic Mesh Migration, 9 Years after Liver Resection

1Department of Surgery, University of Hawaii John A. Burns School of Medicine, Queen’s University Tower, 1356 Lusitana Street, Honolulu, HI 96813, USA
2Department of Surgery, University of Hawaii John A. Burns School of Medicine, 550 South Beretania Street, Suite 403, Honolulu, HI 96813, USA

Received 1 March 2014; Accepted 1 April 2014; Published 15 April 2014

Academic Editor: Gabriel Sandblom

Copyright © 2014 Jae You et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Complications of synthetic mesh have been described in various hernia procedures including migration and erosion, but no previous report mentions this complication after liver resection. This case describes a patient who had undergone a left hepatic resection with mesh pledgets sutured along the cut edge of the liver. He remained complication-free until nine years later when he presented with weight loss and early satiety, and endoscopy revealed mesh within the lumen of the stomach. While still attached to the liver, the mesh had eroded into the lumen of the stomach and he ultimately required surgery to remove this. The use of synthetic mesh in hepatectomies and other abdominal procedures may require further consideration by surgeons regarding its relatively unknown tendency for migration and erosion.