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Case Reports in Surgery
Volume 2015, Article ID 293659, 3 pages
http://dx.doi.org/10.1155/2015/293659
Case Report

A Rare Complication of Composite Dual Mesh: Migration and Enterocutaneous Fistula Formation

1Department of General Surgery, Sisli Etfal Training and Research Hospital, 34371 Istanbul, Turkey
2Department of Plastic and Reconstructive Surgery, Sisli Etfal Training and Research Hospital, 34371 Istanbul, Turkey

Received 25 August 2015; Accepted 5 October 2015

Academic Editor: Muthukumaran Rangarajan

Copyright © 2015 Ozgur Bostanci 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

Introduction. Mesh is commonly employed for abdominal hernia repair because it ensures a low recurrence rate. However, enterocutaneous fistula due to mesh migration can occur as a very rare, late complication, for which diagnosis is very difficult. Presentation of Case. Here we report the case of an enterocutaneous fistula due to late mesh migration in a mentally retarded, diabetic, 35-year-old male after umbilical hernia repair with composite dual mesh in 2010. Discussion. Mesh is a foreign substance, because of that some of the complications including hematoma, seroma, foreign body reaction, organ damage, infection, mesh rejection, and fistula formation may occur after implantation of the mesh. In the literature, most cases of mesh-associated enterocutaneous fistula due to migration involved polypropylene meshes. Conclusion. This case serves as a reminder of migration of composite dual meshes.