Year 2019 / Volume 111 / Number 1
Letter
Late mesh migration after Nissen funduplication mimicking a gastric neoplasm

80

DOI: 10.17235/reed.2019.4182/2015

Felipe Martínez-Alcalá García, José Manuel Pérez Pozo, Felipe Martínez Alcalá,

Abstract
A 63-year-old female with a Nissen funduplication that was diagnosed nine years previously presented with abdominal pain, weight loss and occasional dysphagia of a few months duration. A computed tomography (CT) scan identified an extensive gastric tumor with a subtle curvature and cardia with distal esophagus circumferential enlargement. Gastroscopy identified gastric linitis plastica with many attached residues. The biopsy was compatible with inflammatory changes. A linear echoendoscopy identified an area at the cardia level that was compatible with a foreign body with a lineal hyperechoic irregular focus.
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References
1. Tam V, Winger DJ, Nason KS. A systematic review and meta-analysis of mesh vs. suture cruroplasty in laparoscopic large hiatal hernia repair. Am J Surg 2016; 211: 226-38.
2. Lobato L, Pérez Lara FJ, Moreno FJ, et al .Causa infrecuente de disfagia en el postoperatorio tardío de la cirugía de la hernia de hiato. Rev Esp Enferm Dig. 2007 ;99:173-5
3. Stadlhuber RJ, Sherif AE, Mittal SK, et al. Mesh complications after prosthetic reinforcement of hiatal closure: A 28-case series. Surg Endosc 2009;23:1219-26.
4. Donatelli G, Dallemagne B, Perretta S, et al. Fully endoscopic removal of migrated mesh after laparoscopic fundoplication eroded into the gastroesophageal junction: A case report (with video). Gastrointest Endosc 2012;75:455-7.
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Martínez-Alcalá García F, Pérez Pozo J, Martínez Alcalá F. Late mesh migration after Nissen funduplication mimicking a gastric neoplasm. 4182/2015


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Publication history

Received: 29/12/2015

Accepted: 01/02/2016

Online First: 11/01/2019

Published: 17/01/2019

Article Online First time: 1109 days

Article editing time: 1115 days


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