Introduction:
seromas are a common and challenging complication post mesh hernia repairs (Morales-Conde, 2012; Salamone, 2015; Vasilakis, 2014).
Presentation of case:
A 52-year-old male was referred to General Surgery with a large abdominal mass in the setting of morbid obesity and multiple abdominal operations culminating in a ventral hernia repair seven years prior. He had no other abdominal symptoms or malignancy red flags. Imaging demonstrated a large, complex anterior abdominal wall seroma of 40 × 25 × 20 cm. No seromas of this size and location have been reported in the literature.
Discussion:
Surgical management required drainage, partial capsulectomy and scarification of the remnants with multidisciplinary team involvement for recovery including general surgeons, anaesthesia, intensivists and allied health professionals.
Conclusion:
The patient recovered well from his operation.