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Case Report
Periodontal disease as a cause of intraperitoneal mesh infection: A case report
1 MBBS, General Surgical Principal House Officer, Cairns Base Hospital, Cairns, Australia
2 MBBS, FRACS, Staff Specialist - General Surgeon, Cairns Base Hospital, Cairns, Australia
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Ken Hoc Lam
Cairns Base Hospital, Cairns,
Australia
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Article ID: 100097Z12KL2021
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How to cite this article
Lam KH, Brunott N. Periodontal disease as a cause of intraperitoneal mesh infection: A case report. J Case Rep Images Surg 2021;7:100097Z12KL2021.ABSTRACT
This case report describes a delayed intraperitoneal mesh infection suspected to be a result of hematogenous spread from periodontal disease. A 46-year-old gentleman presented to the emergency department with a 2-week history of worsening periumbilical pain, erythema, and purulent discharge on the background of having an intraperitoneal Bard Ventralex mesh [composite polypropylene/expanded polytetrafluoroethylene (ePTFE)] placed as part of an emergent open primary umbilical hernia repair four years prior. Contrast-enhanced computed tomography (CT) of the abdomen confirmed mesh involvement. He proceeded to laparoscopic exploration revealing an abscess cavity between the anterior abdominal wall and the mesh requiring mesh explantation. The mesh cultured Prevotella intermedia—a gram negative anaerobe associated with periodontitis. This case report suggests that mesh can be colonized with bacteria from the oral cavity resulting in clinically significant infection.
Keywords: Case report, Intraperitoneal mesh infection, Periodontal disease, Prevotella intermedia
SUPPORTING INFORMATION
Author Contributions
Ken Hoc Lam - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nathan Brunott - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Ken Hoc Lam et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
