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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 50
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
A
77-years-old female who underwent uncomplicated
laparoscopicmesh sacrohysteropexy (LMH) in 2009 for uterine
prolapse presented with features of small bowel obstruction (SBO)
was confirmed on abdominal/pelvic CT scan. At laparotomy, the
sacrohysteropexy mesh was seen to have eroded into the small
bowel causing complete obstruction complicated by ischaemia
and perforation. No adhesions were present. Following resection
and primary anastomosis, the patient was transferred to the
intensive care unit (ICU). Although rare cases have been reported
of SBO occurring secondary to the use of a synthetic mesh in
LMH. To our knowledge, we report the first case of SBO directly
attributable to erosion of mesh into the small bowel itself, occurring
several years after LMH. Given the increasing frequency of women
opting for the surgical management of pelvic organ prolapse (POP)
which involves techniques using synthetic mesh, it is important to
consent patients appropriately of such life-threatening risks and to
equally focus on the development of surgical techniques and mesh
materials which aim to minimize such complications.
Biography
Kiranpreet Gill, MBBS BSc (Hons.) has graduated from Imperial College Lon-
don in 2017. She won the John Adamson Prize, as well as passing finals with
a Distinction in Clinical Practice. She is currently practicing as a FY1 Doctor
in General Surgery at West Middlesex University Hospital in London. She is
working with Mr. Constantinos Simillis, a Consultant in General Surgery and
Colorectal Surgery
kiranpreet_gill@hotmail.co.ukSmall bowel obstruction secondary to mesh erosion
– a rare long-term complication of laparoscopic mesh
sacrohysteropexy
Kiranpreet Gill
and
Constantinos Simillis
West Middlesex University Hospital, UK
Kiranpreet Gill et al., Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-003