Small bowel ischemia caused by wrapping of the appendix around the small bowel after adhering to eroded mesh following elective laparoscopic TAPP repair
Ghoneim, Abdulrahman Issa, Mohamed Shams, Marvi Awad, Mohamed
Ghoneim, Abdulrahman
Issa, Mohamed
Shams, Marvi
Awad, Mohamed
Abstract
Laparoscopic transabdominal preperitoneal (TAPP) repair is the gold standard for treatment of inguinal hernia. Its complications are well known; however, its rare complications, such as mesh erosion and migration are commonly overlooked. There is established evidence about mesh complications; however, we have not found a similar case to what we encountered. We present a case of an elderly male who presented with a closed-loop bowel obstruction following a TAPP repair. Intraoperatively, the appendix tip was adherent to the eroded mesh through a defect in the peritoneal flap. The appendix formed a constricting wrap around the terminal ileum with a resultant ischemia of the bowel in the presence of a competent ileocecal valve. Reasons accounting to mesh erosion can be divided into primary and secondary causes. Complications from mesh erosion vary from fistulation up to bowel ischemia. Failure to recognize these complications can lead to considerable morbidity.
MIDER Authors
Affiliations
King Abdulaziz University; Walsall Healthcare NHS Trust; The Dudley Group NHS Foundation Trust
Citations
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Date
2026-01-20
Type
Article
Subject
Collections
Citation
Ghoneim A, Issa M, Shams M, Awad M. Small bowel ischemia caused by wrapping of the appendix around the small bowel after adhering to eroded mesh following elective laparoscopic TAPP repair. J Surg Case Rep. 2026 Jan 20;2026(1):rjaf1096. doi: 10.1093/jscr/rjaf1096. PMID: 41568299; PMCID: PMC12818008.