An atypical metallic bezoar on imaging
DOI:
https://doi.org/10.18203/2320-6012.ijrms20262664Keywords:
Hiatal hernia, Fundoplication failure, Mesh erosion, Metal bezoar like lesionAbstract
Laparoscopic fundoplication with mesh reinforcement is an established surgical treatment for gastroesophageal reflux disease and large hiatal hernias. Although long-term outcomes are generally favorable, delayed postoperative complications may occur, including wrap migration, recurrent hiatal hernia, mesh-related sequelae. We report a case of severe fundoplication failure with recurrent hiatal hernia complicated by metal bezoar-like intraluminal lesion with impregnated food particles on CT. This case highlights the importance of recognizing misleading intraluminal appearances on cross-sectional imaging to avoid diagnostic pitfalls and facilitate timely management.
References
Li J, Cheng T. Mesh erosion after hiatal hernia repair: the tip of the iceberg? Hernia. 2019;23(6):1243-52.
Maher S, Souad G, Hani M, Tony K, Raja W. Transmural gastric mesh migration after hiatal hernia repair: Case report and literature review. Surgery Case Rep. 2024;3:100055.
Martins BC, Serrão Martins AAR, Soares AAB, Ribeiro-Junior U. Endoscopic management of mesh migration following hiatal hernia repair. Revista ABCD. 2024.
Moon-Soo L, Dong KL, Hyun-Young H, Joo HK. Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair. J Minim Invasive Surg. 2024;27(2):109-13.
Kamat R, Patankar R, Supe A, Dubey P, Thapar R, Kalikar V. Computed tomography roadmap for post-operative fundoplication imaging with a novel structured reporting checklist. J Minim Access Surg. 2024;21(2):153-61.
Carbo AI, Kim RH, Gates T, D'Agostino HR. Imaging findings of successful and failed fundoplication. Radiographics. 2014;34(7):1873-84.
Süsstrunk S, Daniel S, Alexander W, Enea MG, Silke P, Urs Z. Clinical and computed tomography outcomes after mesh-enforced hiatoplasty and anterior hemi-fundoplication in large hiatal hernia repair. World J Surg. 2024;48(11):2669-77.
De Moor V, Zalcman M, Delhaye M, El Nakadi I. Complications of mesh repair in hiatal surgery: about 3 cases and review of the literature. Surgical Laparoscopy Endoscopy Percutaneous Techn. 2012;22(4):e222-5.
MRI patterns of Nissen fundoplication: normal appearance and mechanisms of failure. Europ Radiol. 2014;24:2936-45.
Khaitan L, Scholz S, Richards WO. Post-fundoplication contrast studies: normal appearance and postoperative complications. Seminars Roentgenol. 2005;40(4):224-40.
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