Publication

Abstract : We report the case of a 54-year-old female who underwent mesh repair with abdominoplasty for incisional hernia. She had a drop in haemoglobin on the 2nd postoperative day and became pale. An urgent ultrasound done picked up a collection in the region of the mesh. Intraoperatively, surgical area was clean and an intraoperative ultrasound showed the collection to be a few centimetres below the abdominal wall. On opening the abdomen, we discovered a haemorrhagic cyst attached to the mesentery possibly a bleed into an undiagnosed mesenteric cyst. We are submitting this case report to emphasise the need and use of pre-operative computerised tomography in abdominal emergencies to avoid surgical surprises at laparotomy.