Batna Journal of Medical Sciences
Volume 10, Numéro 1, Pages 34-38
2026-02-02
Prosthetic Repair Failure In A Ventral Hernia In The Setting Of An Untreated Ovarian Teratoma: A Learning Case Report
Authors : Medareg Narou Boubir Sonia .
Abstract
Prosthetic repair of ventral incisional hernias may fail in the presence of unaddressed intra-abdominal pathologies that increase post-operative risk. We report a case of a 58-year-old obese woman (BMI 41 kg/m²) with a recurrent ventral incisional hernia and an untreated mature ovarian teratoma. Retromuscular mesh repair was performed without teratoma excision. Postoperative complications included respiratory distress, renal dysfunction, and two eviscerations requiring reoperations. The teratoma was ultimately excised, and bowel resection was performed. The patient later presented with hernia recurrence. This case highlights the importance of considering and, when appropriate, addressing coexisting intra-abdominal pathology prior to abdominal wall reconstruction with prosthetic material to potentially reduce post-operative morbidity and recurrence risk.
Keywords
incisional hernia, mesh repair, ovarian teratoma, intra-abdominal pressure, evisceration, hernia recurrence
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