Colocutaneous fistula after mesh plug inguinal hernia repair—a delayed complication

Sigmoidocutaneous Fistula 26 Years after Left Inguinal Hernia Repair with Mesh-Plug Technique

“…The first reported case of colocutaneous fistula has been described by Zubaidi in 2006. 1 Other two cases of colocutaneous fistulas have been reported by Murphy in 2006 and Ishiguro in 2009. 2,3 The cases occurred two and three years, respectively, after left inguinal mesh-plug repair, both involving on the left side the sigmoid colon.…”

“…This has been described in literature as case reports occurring mainly few years after surgery. [1][2][3][4] To author's knowledge, this is the first case described of sigmoidocutaneous fistula occurring more than 20 years after hernioplasty with plug technique.…”

Colocutaneous Fistula after Open Inguinal Hernia Repair

“…In literature search we have found only 3 cases of colocutaneous fistula with the sigmoid colon after open inguinal hernia repair. In the two cases a mesh plug was used for the repair [ 1 , 2 ] and the third case was after a Lichtenstein repair [ 3 ]. Colocutaneous fistula with the cecum has been reported more rarely [ 4 ].…”

A case of a colocutaneous fistula: A rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair

“…Klosterhalfen et al [11] compared inflammatory reactions between polytetrafluoroethylene (Gortex) and subcutaneously implanted polypropylene (Marlex) meshes, and found that the occurrences of chronic inflammatory reactions and fibrosis were greater with the Marlex mesh than with the Gortex mesh [11] . Erosion and migration due to contact between the mesh and the bowel is considered to possibly result in intestinal obstruction or fistula formation [12,13] .…”