Hernia through iliac bone graft donor site

Herniation of small bowel occurred through an iliac wing defect six years after a bone grafting procedure at wuich bone had been removed from the middle portion of the crest. Repair was carried out with a double Marlex mesh. To date, there has been recurrence. This rare complication in our patient illustrates further why full thickness bone graft should not be obtained from the middle section of the crest