par Simonelli, Vincenzo 
;Boven, Carine;Loi, Patrizia ;El Nakadi, Issam ;Closset, Jean
Référence Acta chirurgica Belgica (Ed. bilingue), 116, 1, page (51-53)
Publication Publié, 2016-04
;Boven, Carine;Loi, Patrizia ;El Nakadi, Issam ;Closset, Jean Référence Acta chirurgica Belgica (Ed. bilingue), 116, 1, page (51-53)
Publication Publié, 2016-04
Article révisé par les pairs
| Résumé : | Introduction: There are very few case reports of metastasis on a mesh prosthesis following laparoscopic hernia repair in the literature and its incidence is completely unknown. Case report: A 76-year-old male patient presented in December 2013 with a suspicious malignant lesion of the pancreatic tail on the MRI. He was also complaining of a painful mass in the right para-rectal area. An exploratory laparoscopy performed in December 2013 revealed microscopic whitish peritoneal implants in the left hypochondrium and a massive metastasis involving a mesh prosthesis placed é years before in the right para-rectal area. The pathology report of biopsies of the mesh confirmed a metastasis compatible with a pancreatic tumor. Discussion: Possible modes of metastasis and limited published data to date on mesh prosthesis metastasis are presented. This situation can be assimilated to port-site metastasis after laparoscopy. Conclusion: A mesh prosthesis metastasis after laparoscopic hernia repair is very rare. |
