Intrarectal Mesh Migration with Recurrence After Transabdominal Mesh Rectopexy

A 50-year-old man underwent abdominal rectopexy with non-absorbable mesh for complete rectal prolapse 7 years ago with relief of symptoms for 2 months followed by gradual recurrence over more than 6 years. On examination, complete rectal prolapse with part of the mesh extruding from the rectal mucosa into the lumen was observed (Figure 1). The patient was successfully treated with Altemeier’s procedure, during which the protruding portion of the rectum was excised. Intraoperatively, full thickness migration of the mesh from the posterior wall of the rectum in to its lumen was observed. The postoperative course was uneventful. At 2-year follow-up, there is no recurrence