Mesh Entrapment Appendiceal Perforation with Hernia Repair Mesh-Associated Abscess

Authors

Anthony Esposito III, MS Temple-St. Luke’s School of Medicine, Bethlehem, PA
Steven Chen, MD Department of Radiology, St. Luke’s University Hospital Network, Bethlehem, PA
Yayone L. Rivaud , MD Temple-St. Luke’s School of Medicine, Bethlehem, PA

DOI:

Abstract

While appendicitis is the most common emergent indication for abdominal surgery worldwide and abdominal hernia repair is also one of the most common abdominal surgeries, the scenario in which the appendix becomes entrapped or entangled with the hardware associated with a hernia repair has rarely been documented. The patient in this case underwent a bilateral inguinal hernia repair procedure approximately 20 years ago. Years later, the patient developed appendiceal perforation with imaging and surgical findings indicating involvement of the inguinal hernia repair hardware

Author Biographies

Steven Chen, MD, Department of Radiology, St. Luke’s University Hospital Network, Bethlehem, PA

Yayone L. Rivaud , MD, Temple-St. Luke’s School of Medicine, Bethlehem, PA

Medical Director of MRI

51-year-old male with hernia mesh entrapment of appendix, 3 years prior to acute presentation. FINDINGS: A CT of the abdomen and pelvis from several years prior to presentation with right lower quadrant paint showed the appendix abutting the anterior abdominal wall with an embedded metallic foreign body, but no acute inflammatory changes (yellow arrows). TECHNIQUE: CT Renal Stone Study of the Abdomen and Pelvis without oral or IV contrast. Axial and Sagittal views.

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Published

2026-04-13

Issue

2026: Articles in Press

Section

General Radiology

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