Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.114
Peer-review started: September 28, 2022
First decision: November 27, 2022
Revised: November 30, 2022
Accepted: December 23, 2022
Article in press: December 23, 2022
Published online: January 27, 2023
Processing time: 111 Days and 18.7 Hours
A meshoma formation and erosion to the small intestine is rare. Herein, we report one case of a meshoma that was not treated early; causing it to displace and erode the small intestine, with infection, complete control of symptoms was achieved after removal of the infected patch mass, no recurrence of hernia after 2 years of follow-up.
A 62-year-old male patient presented with recurrent abdominal pain repeatedly for 1 wk, which has worsened 2 d before admition, accompanied by fever. Five years before presentation he underwent right inguinal hernia Plug and patch repair approach. Two years ago, a computed tomography scan revealed a right lower abdominal mass with soft tissue density, measuring approximately 30 mm × 17 mm, which was diagnosed as meshoma that was not treated. The patient had poorly controlled diabetes in the past year.
The formation of meshoma is rare, and that if not treated in time it might erode and require resection of the involved organ.
Core Tip: The formation of meshoma increases the risk of infection. According to the literature, keep the surgical field clean when placing the mesh, pay attention to the flatness of the mesh, avoid curling and folding, and avoid any direct contact with the viscera. After the formation of the meshoma, surgery to remove the meshoma as early as possible is recommended.