PMC8634260_01
Images of representative abdominal CT and gastrointestinal radiography. (A) Infectious lesions in the right groin area, sinus formation, and involvement of the adjacent ileum; (B) no obvious signs of contrast agent leakage on barium meal imaging of the whole digestive tract; (C) 2 months after the surgery, the lesion in the right groin area is absorbed and narrowed, the sinus tract is unclear, and part of the intestinal canal in the abdominal cavity showed a metal anastomosis.
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F1
Gastrointestinal angiography showed no extravasation of contrast agents in the digestive tract (Figure 1). CT found skin sinus in the right groin area invaded the ileum (Figure 1).
Intraoperative photographs. (A) Laparoscopic mesh and part of the ileum (white arrow), (B) Laparotomy mesh and part of the ileum (white arrow), and the embedded image shows the excised mesh and partial ileum specimen.
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F2
The pus was aspirated immediately to avoid contamination of the abdominal cavity, and a sample was collected for culturing (Figure 2). The surgery was converted to laparotomy, and the plug was found embedded in the ileum (Figure 2) and completely removed.
Postoperative pathology (HE staining) reveals intestinal vasodilation, congestion, edema, fibrous tissue hyperplasia, scattered infiltration of inflammatory cells, and partial mucosal defects accompanied by ulcer formation. (A) x40 and (B) x100 magnification, respectively.
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F3
Postoperative pathology showed changes in intestinal inflammation, partial mucosal defects accompanied by ulcer formation (Figure 3).