Infected hernia repair mesh

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Operated for umbilical hernia - 1 mth back. C/o local pain, swelling.

Patient Data

Age: 60 yrs
Gender: Female
ultrasound

 Umbilical region shows hernia mesh superficial to rectum muscle. Mesh is abutting muscle in most of part, except at margins where mesh shows folding on itself.

Superficial to mesh anechoic collection with few thin septa is noted, about 6 x 6 x 2 cm size. Fluid cleft is noted in subcutaenous fat scar region with alogn with fat inflammation

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