PMC8560301_01
Abdominal finding. Cutaneous fistulas are seen in the mid and left lower abdomen (arrows).
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A fistula was found on the skin of the lower abdomen (Figure 1).
Abdominal computed tomography (CT) scan on arrival: the mesh migrated into the neobladder (arrow) and the small intestine (arrowhead).
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Abdominal CT scan showed a migrated mesh into the neobladder and ileum (Figure 2).
Intraoperative findings. The mesh (arrowhead) migrated into the neobladder (arrow) and the small bowel (a, b). Partial resection of the small intestine and partial neobladder resection were performed (c). The neobladder wall was closed in a straightforward manner (d).
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Mesh removal and partial resection of the neobladder and small intestine were performed (Figures 3(a) and 3(b)). The defect in the neobladder wall was closed in a straightforward manner, and the resected ileum was only about 20 cm (Figure 3(c)). The incisional hernia of the abdominal wall was repaired by simple suturing of the fascia (Figure 3(d)).
Postoperative cystography and computed tomography (CT) scan. Cystography of the neobladder showed no leakage (a). Subcutaneous fluid collection is observed on postoperative day 14 (b). It improved by postoperative day 29 (c).
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And it was confirmed that there was no leakage (Figure 4(a)). On postoperative day 14, the CT scan showed subcutaneous fluid accumulation in the abdomen (Figure 4(b)). Drainage was required for 10 days, and antibiotics (PIPC) were administered, but after drain removal, the patient was discharged without any complications on postoperative day 40 (Figure 4(c)).