HighlightsComplicated seromas are rare and can cause therapeutic problems.The right timing for mesh removal is delicate to be detected.Erosion of the small bowel by the tacks has been reported. It seems to be due to technical problems.In our case the pressure exerted by the bulky seroma favored the fistulization of the small bowel.This case suggests that the type of mesh fixation may influence the time of its removal.
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