Nonhealing Gastric Ulcer Due to Mesh Eroding Through Gastric  Wall

A 57-year-old woman with a history of multiple ventral hernia mesh repairs, with the most recent hernia repair 2 years ago, and a nonhealing gastric ulcer for the past 8 months (Figure A, white arrow) presented with acute onset of abdominal pain, nausea, vomiting, swelling, and redness in the midabdomen for the past 3 days. A computed tomography scan of the abdomen showed prior ventral abdominal wall hernia mesh repair with development of an abscess within the subcutaneous tissues of the anterior abdominal wall (Figure B, red arrow)  in addition to a possible intra-abdominal fistulous communication where the stomach abuts the anterior abdominal wall (Figures B and C, blue arrow).
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research