# Case Report: Total intragastric mesh migration six years after diaphragmatic rupture and hiatal hernia surgery

## TL;DR

A rare case of mesh migration into the stomach six years after surgery for diaphragmatic rupture and hiatal hernia is reported.

## Contribution

This case highlights the long-term complication of mesh erosion and migration, which is rarely documented in the literature.

## Key findings

- Mesh erosion into the stomach occurred six years after the initial surgery.
- The cause of the mesh migration remains unexplained, with possible links to inflammation or mesh composition.
- Such long-term complications are uncommon and not well understood.

## Abstract

Background: Mesh implementation to repair the hiatal space is already justified. Nevertheless, the use of this procedure is debated in regard of complications that may occur. Mesh erosion and migration are considered the most serious complications of mesh repairs.

Case presentation: It has not yet been well described in the literature. We describe a case of mesh erosion of stomach, many years later after a prosthetic repair of a diaphragmatic rupture associated to hiatal hernia, is presented here because of its rarity.

Conclusion: Few explanations have been put forward to explain this incident. Could it be due to inflammatory processes, or to the composition of the Meshes? As yet, there is no definitive explanation.