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Research Article Open access CC BY 4.0

Textilomas Migrating through the Colonic Wall Mimicking Malignancy: A Rare Case Report of a C-section Post-Operative Complication

MERGHAD Hatim, CHAOUNI Adil, RAHIOUI Yousra, EL KHELOUFI Soufiane, ASATASH Yosra, BRAHMI Oussama, KHEDID Yahia Zain Al Abidine, EL ABSI Mohamed, El OUNANI Mohamed, ECHARRAB El Mahjoub, EL ALAMI EL FARICHA EL Hassan

Asian Journal of Research in Surgery · pp. 302–310 · Published 7 Jul 2025

10.9734/ajrs/2025/v8i2300

Abstract

This is a case of a 40 years old female patient, with a history of 2 Cesarean section 10 years ago and 6 months ago, consulting for bowel obstruction for 20 days, CT scan showing two masses, located on the caecal and sigmoid region, presuming a malignant origin and a pre-perforated colon with signs of peritoneal carcinosis, per operative findings showed a perforated colon with two surgical mesh. This article highlights how even the slightest negligence can lead to dire consequences post-operatively for the patient, emphasizing the importance of counting mesh in the surgical fraternity, particularly when performing procedures in closed cavities. It also underscores the importance of considering clinical and complementary examinations when treating a patient. The article also contains, through discussion, the mechanisms of foreign body migration and ways to prevent similar future surgical complications.

Textiloma mesh colic occlusion mesh migration C-section postoperative bowel obstruction pathophysiology colic cancer

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