Subcutaneous Pseudocyst caused by Incisional Hernia Repair with Non-absorbable Mesh

Authors

Keywords:

incisional hernia, pseudocyst, surgical mesh

Abstract

Introduction: Subcutaneous pseudocysts are serous, liquid and sterile collections with a diameter above 10 cm.
Objective: To present the clinical case of a patient with a subcutaneous pseudocyst secondary to an incisional hernioplasty with non-absorbable mesh.
Clinic Case: A 36-year-old female patient with morbid obesity and a history of polycystic ovary syndrome, chronic iron deficiency anemia and multiple abdominal surgeries came to the clinic with pain in a giant, medium, infraumbilical incisional hernia. Incisional hernioplasty with placement of supra-aponeurotic mesh was performed. In the second month after surgery, she consulted for an increase in volume in the wound. Complementary tests were performed and a subcutaneous pseudocyst was diagnosed. Initially, the procedure was drained with a pigtail. When this line of treatment failed due to infection of the pseudocyst, complete excision was performed with placement of suction drains.
Conclusion: The subcutaneous pseudocyst is a rare entity due to its very low incidence and the difficulties in its diagnosis.

Downloads

Download data is not yet available.

Author Biography

Karel Borroto Martínez, Centro de Investigaciones Clínicas

Especialista de Primer y Segundo Grado en Cirugía General. Profesor Asistente. Investigador Agregado. Diplomado en Gestión de Información en Salud. Diplomado en Cirugía Oncológica. Diplomado en Promoción de Salud en el contexto de la APS. Diplomado en Urgencias Médicas Hospitalarias.

References

Rizzese ML, Sitta S, Gómez Echevarrieta A, López MA, Polo Rivera E, Tripoloni DE. ¿Supuración crónica o pseudoquiste infectado? Una complicación de la eventroplastia con malla [Internet]. Rev Argent Cir. 2022; 114(2):162-6. DOI: 10.25132/raac.v114.n2.1613

Sánchez N, Roche S, Bertone S, Cetolini F, Brandi CD. Pseudoquiste de pared abdominal: tratamiento con presión negativa. A propósito de un caso [Internet]. Rev Hispanoam Hernia. 2018; 6(2):100-2. DOI: 10.20960/rhh.111

Roche S, Bertone S, Brandi CD. Pseudoquiste gigante de pared abdominal: reporte de casos [Internet]. Rev Hispanoam Hernia. 2016; 4(3):127-31. DOI: 10.1016/j.rehah.2016.04.002

Waldrep DJ, Shabot MM, Hiatt JR. Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: a newly described pathologic entity [Internet]. The American Surgeon. 1993 [acceso: 06/07/2024]; 59(11):716-8. Disponible en: https://europepmc.org/article/med/8239192

Jain A, Mahakalkar C, Jajoo S, Kumar CA. Mesh Antibioma: A New Entity in the Presentation of Late-Onset Mesh Infection [Internet]. Cureus. 2023; 15(3):e36144. DOI 10.7759/cureus.36144

Cano CA, Contreras M, Gutierres N, Yarade ME, Roldán AG. Seudoquiste hemorrágico crónico (infrecuente en eventroplastia) [Internet]. Rev Hispanoam Hernia. 2016; 4(4):185-9. DOI: 10.1016/j.rehah.2016.05.004

Fernández García A, Fernández Pascual C, Santoyo Gil-López F, Alonso Rosa S. Pseudoquiste de Morel-Lavallée tras abdominoplastia sin lipoaspiración [Internet]. Cir plást iberolatinoam. 2009 [acceso: 06/07/2024]; 35(2):163-8. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922009000200013

Published

2025-01-10

How to Cite

1.
Borroto Martínez K, Ramírez Fernández Y, Ceballos Rojas MA. Subcutaneous Pseudocyst caused by Incisional Hernia Repair with Non-absorbable Mesh . Rev Cubana Med Milit [Internet]. 2025 Jan. 10 [cited 2025 Jan. 11];54(1):e025067819. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/67819

Issue

Section

Case Presentation