Vesicoperitoneal fistula is a very rare entity of epithelialized communication between peritoneal cavity and bladder.1 It results in accumulation of urine in peritoneal cavity and causes elevated urea and
creatinine levels mimicking acute renal failure. Incisional hernia is
common complication of abdominal surgery and often repaired with
non-absorbable mesh.2 Using dual mesh can reduce mesh related
complications but migration to adjacent organs can still happen and
cause severe complications. Here we present a case of mesh related
vesico-peritoneal fistula presenting with urinary ascites 2 years after
incisional hernia repair.
