PMC4896113_01
Axial enhanced CT through the mid abdomen demonstrating a low density seroma (*) deep to mesh (arrowheads). Note that the posterior wall of the seroma consists of enhancing granulation tissue (arrow) that is lower density than the mesh overall but has a subjectively similar density in some regions, particularly near the midline.
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PMC4896113_01_gr1.jpg
fig1
A CT of his abdomen was obtained that demonstrated a 22 x 8 cm fluid collection posterior to the mesh hernia repair (Figure 1).
Intraoperative photograph showing the incised PTFE mesh (held with clamps) and the infected seroma (*) deep to the mesh.
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PMC4896113_01_gr2.jpg
fig2a
When the mesh was incised intraoperatively, a large brownish colored fluid collection consistent with an infected seroma was drained (Figure 2A). The posterior wall of the seroma cavity consisted of thick granulation tissue (Figure 2B).
PMC4896113_02
Intraoperative photograph after mesh removal and drainage of the infected seroma reveals the posterior wall of the seroma consisting of thick granulation tissue (arrow).
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PMC4896113_02_gr3.jpg
fig2b
A different 60 year old male hepatic transplant patient had a similar clinical course with formation of a deep seroma (Figure 3), percutaneous aspiration of sterile fluid, development of infection and operative removal of mesh.