en Surgery Surgery case report case report <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> Postoperative hematoma and seroma, foreign body reaction, infection, mesh rejection, and fistula formation are the complications associated with the use of surgical mesh. Mesh migration is a rare but serious and challenging complication after hernia repair. When this happens, infection, abscess, fistula, and bowel obstruction are the most common seaquelae.<span style="font-size:9.0pt"></span></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Case presentation:</span></i></b> Our patient was a 62-year-old woman with a history of appendectomy 30 years ago and then underwent 3 incisional hernia repair surgeries which the last one was 5 years ago using laparoscopic IPOM. The patient was nominated for surgery with a diagnosis of recurrent incisional hernia. The patient underwent laparotomy and after enterolysis, a small bowel loop was seen that adhered to McBurney&#39;s region, which was released. There was a mass inside the small bowel. Resection and anastomosis of the involved intestine were performed. After enterotomy, it was determined that this mass was the mesh used in the previous surgery.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> Mesh migration is a rare consequence of incisional hernia repair with a prosthetic mesh. It can happen years after a hernia repair and it is additionally crucial to consider as a differential diagnosis in all patients who show unusual symptoms or abdominal pain.<b><i><span style="color:#0033cc"></span></i></b></span></span></span> Surgical mesh, Hernia repair, Mesh migration, Hernioplasty complication, incisional hernia 815 817 http://caspjim.com/browse.php?a_code=A-10-2181-2&slc_lang=en&sid=1 Ali Jangjoo jangjooa@mums.ac.ir 100319475328460039923 100319475328460039923 No Department of General Surgery, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Mohammad Ebrahim Kalantari me.kalantari@yahoo.com 100319475328460039924 100319475328460039924 No Minimally Invasive and Bariatric Surgeon, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Tooraj Zandbaf Tooraj.zandbaf@gmail.com 100319475328460039925 100319475328460039925 Yes Department of General Surgery, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran