{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:05Z","timestamp":1756307405645,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,15]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Abdominal wall pseudocyst is an infrequent complication that may arise after hernia repair. In most cases, obesity and the presence of prosthetic material are commonly recognised as significant risk factors. The giant pseudocyst is characterised by fluid collection that lacks an epithelial lining and has a diameter greater than 10 cm.<\/jats:p>\n               <jats:p>We present the case of a male patient with an elevated body mass index, hypertension and a history of two umbilical hernia repairs using polypropylene mesh. This complication developed several years postsurgery. The management approach included complete excision of the pseudocyst, as well as laparoscopic vertical gastrectomy and abdominal wall repair with partially resorbable composite intraperitoneal mesh.<\/jats:p>\n               <jats:p>We explore its multifaceted aetiology, risk factors, available treatment options and preventive measures. In this clinical case, indocyanine green fluorescence is used as an important tool to assess skin perfusion that can help guide associated dermolipectomy.<\/jats:p>","DOI":"10.1136\/bcr-2024-264719","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T07:46:09Z","timestamp":1746171969000},"page":"e264719","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Removal of giant abdominal pseudocyst and laparoscopic bariatric surgery in a patient with morbid obesity"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5331-1304","authenticated-orcid":false,"given":"Carmen","family":"Guti\u00e9rrez","sequence":"first","affiliation":[{"name":"General Surgery, Hospital Universitari i Politecnic La Fe, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4664-6216","authenticated-orcid":false,"given":"Alba Mar\u00eda","family":"Serrano Molina","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital Universitari i Politecnic La Fe, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2931-0366","authenticated-orcid":false,"given":"Salvador","family":"Pous-Serrano","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital Universitari i Politecnic La Fe, Valencia, Spain"},{"name":"Universidad de Valencia Facultad de Medicina y Odontolog\u00eda, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0004-7992","authenticated-orcid":false,"given":"Rosana","family":"Palasi","sequence":"additional","affiliation":[{"name":"Hospital La Fe, Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"2025082707342903000_18.5.e264719.1","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1007\/s10029-003-0201-6","article-title":"Giant mature cyst formation following mesh repair of hernias: an underreported complication?","volume":"8","author":"Ogunbiyi","year":"2004","journal-title":"Hernia"},{"key":"2025082707342903000_18.5.e264719.2","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s10029-013-1144-1","article-title":"Giant pseudocyst of the anterior abdominal wall after incisional hernia mesh repair: a rare case report","volume":"18","author":"Mantelou","year":"2014","journal-title":"Hernia"},{"key":"2025082707342903000_18.5.e264719.3","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.rehah.2016.04.002","article-title":"Pseudoquiste gigante de pared abdominal: reporte de casos","volume":"4","author":"Roche","year":"2016","journal-title":"Revista Hispanoamericana de Hernia"},{"key":"2025082707342903000_18.5.e264719.4","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1007\/s10029-005-0025-7","article-title":"Giant pseudocyst of the anterior abdominal wall following mesh repair of incisional hernia: a rare complication managed laparoscopically","volume":"10","author":"Mehrotra","year":"2006","journal-title":"Hernia"},{"key":"2025082707342903000_18.5.e264719.5","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1007\/s10029-020-02231-5","article-title":"Abdominal wall pseudocyst formation after mesh incisional hernia repair","volume":"26","author":"Dos Santos Filho","year":"2022","journal-title":"Hernia"},{"key":"2025082707342903000_18.5.e264719.6","first-page":"716","article-title":"Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: a newly described pathologic entity","volume":"59","author":"Waldrep","year":"1993","journal-title":"Am Surg"},{"key":"2025082707342903000_18.5.e264719.7","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s10029-010-0640-9","article-title":"Abdominal pseudocyst complicating incisional hernia repair: our experience and literature review","volume":"15","author":"Ielpo","year":"2011","journal-title":"Hernia"},{"unstructured":"Mb CP . Giant abdominal pseudocyst as late post-surgical complication after eventration. 2022.","key":"2025082707342903000_18.5.e264719.8"},{"key":"2025082707342903000_18.5.e264719.9","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s10029-023-02775-2","article-title":"Abdominal wall pseudocyst after subcutaneous onlay endoscopic approach (SCOLA) mesh repair: a case report and literature review","volume":"28","author":"Gogia","year":"2024","journal-title":"Hernia"},{"doi-asserted-by":"publisher","key":"2025082707342903000_18.5.e264719.10","DOI":"10.1016\/S1072-7515(98)00002-7"},{"key":"2025082707342903000_18.5.e264719.11","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s10029-008-0343-7","article-title":"Abdominal wall pseudocyst following abdominoplasty after postmastectomy radiation therapy","volume":"12","author":"Narayanan","year":"2008","journal-title":"Hernia"},{"key":"2025082707342903000_18.5.e264719.12","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.ciresp.2013.09.007","article-title":"Pseudoquiste gigante de pared abdominal: una complicaci\u00f3n infrecuente de la eventroplastia con malla de sustituci\u00f3n","volume":"92","author":"Saavedra-Perez","year":"2014","journal-title":"Cirug\u00eda Espa\u00f1ola"},{"doi-asserted-by":"crossref","unstructured":"\u0141awnicka A , Nowakowski J , Murawa D , et al . Uso de verde de indocianina en cirug\u00eda reconstructiva y quemaduras. Rev Cirugia 2022;74. doi:10.35687\/s2452-454920220041515","key":"2025082707342903000_18.5.e264719.13","DOI":"10.35687\/s2452-454920220041515"},{"unstructured":"Otorm\u00edn G , Gabriela N , Juan Pablo G , et al . Evaluaci\u00f3n de la perfusi\u00f3n de colgajos mediante indocianina verde\u00bb. 44, n.o 3 (septiembre de 2018). Cirug\u00eda Pl\u00e1stica Ibero- Latinoamericana 2018;44. doi:10.4321\/s0376-78922018000300011","key":"2025082707342903000_18.5.e264719.14"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264719","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:34:37Z","timestamp":1756305277000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":14,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5,2]]},"published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1136\/bcr-2024-264719"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264719","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,5]]}}}