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Bleed into an undiagnosed mesenteric cyst following mesh repair for incisional hernia: A surgical nightmare

Publication Type : Journal Article

Publisher : Kerala Surgical Journal

Source : Kerala Surgical Journal, 2021;27:105-7. DOI:10.4103/ksj.ksj_44_20

Url : https://journals.lww.com/kesg/fulltext/2021/27010/bleed_into_an_undiagnosed_mesenteric_cyst.29.aspx

Campus : Kochi

School : School of Medicine

Department : General Surgery

Year : 2021

Abstract : We report the case of a 54-year-old female who underwent mesh repair with abdominoplasty for incisional hernia. She had a drop in haemoglobin on the 2nd postoperative day and became pale. An urgent ultrasound done picked up a collection in the region of the mesh. Intraoperatively, surgical area was clean and an intraoperative ultrasound showed the collection to be a few centimetres below the abdominal wall. On opening the abdomen, we discovered a haemorrhagic cyst attached to the mesentery possibly a bleed into an undiagnosed mesenteric cyst. We are submitting this case report to emphasise the need and use of pre-operative computerised tomography in abdominal emergencies to avoid surgical surprises at laparotomy.

Cite this Research Publication : Ramachandran R, Gunasekaran V, Pillai AV, Chandran B., "Bleed into an undiagnosed mesenteric cyst following mesh repair for incisional hernia: A surgical nightmare," Kerala Surgical Journal, 2021;27:105-7. DOI:10.4103/ksj.ksj_44_20

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