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Rare case of cervical colorectal cancer metastasis

preperitoneal space for mesh placement creates a potential space for bacterial proliferation and abscess formation, with the abscess in our patient clearly taking on the shape of the dissection balloon. In our case, the free-floating mesh was visible on the original computed tomography scan, and the shape of the collection alluded to the final diagnosis. Clinicians should be aware that a delayed mesh infection is always a possibility. Treatment with intravenous antibiotics and source control appears to be effective. Consideration could be given for percutaneous drainage of the abscess, which was successful in one case. However, definitive management involving mesh removal has been employed in the majority of cases. In conclusion, delayed mesh infection is a rare but important differential diagnosis for patients presenting with an intra-abdominal mass, and is possible even years after laparoscopic inguinal hernia repair. Clinicians should remain vigilant to this unusual complication, and consider making patients aware of the possibility of delayed mesh infection when consenting them for surgery.