Perianal abscess as a manifestation of vaginocutaneous fistula after pelvic floor reconstruction

BMJ Case Rep. 2022 May 13;15(5):e247339. doi: 10.1136/bcr-2021-247339.

Abstract

We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess. After undergoing three surgical operations, the perianal infection was shown to be due to the implanted mesh as a late complication of the reconstruction. The patient was successfully managed with limited removal of the mesh tails. The case highlights one of the late complications of pelvic floor reconstruction using synthetic meshes.

Keywords: General surgery; Obstetrics and gynaecology.

Publication types

  • Case Reports

MeSH terms

  • Abscess / etiology
  • Abscess / surgery
  • Anus Diseases* / complications
  • Anus Diseases* / surgery
  • Female
  • Fistula* / complications
  • Fistula* / surgery
  • Humans
  • Pelvic Floor / surgery
  • Pelvic Organ Prolapse* / surgery
  • Plastic Surgery Procedures* / adverse effects
  • Surgical Mesh / adverse effects