Small bowel volvulus caused by migrating mesh plug

Am Surg. 2007 Aug;73(8):796-7.


The choice of material and technique for repair of inguinal hernias is broad. The mesh plug technique has become one of these techniques. The local complications of this technique are well known and include entrapment and damage of nervous and reproductive structures causing pain and even infertility. Migration of the mesh recently has become evident. We found a few cases of migrating mesh plug in the literature. We report a 76-year-old male patient who presented during admission for a neurosurgical procedure. His hospital course was complicated by migrating mesh eroding into the small intestine presenting as a small bowel obstruction. During exploratory laparotomy, a small bowel volvulus was found and reduced along with resection of the bowel-mesh complex. We discuss and review this technique's complications, including a 9-year review of adverse events reported to the U.S. Food and Drug Administration.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Foreign-Body Migration / complications*
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / surgery
  • Hernia, Inguinal / surgery*
  • Humans
  • Intestinal Volvulus / diagnostic imaging
  • Intestinal Volvulus / etiology*
  • Intestinal Volvulus / surgery
  • Intestine, Small*
  • Male
  • Postoperative Complications
  • Prosthesis Implantation / adverse effects*
  • Prosthesis Implantation / instrumentation
  • Reoperation
  • Surgical Mesh / adverse effects*
  • Tomography, X-Ray Computed