The authors present a case report of a 44-years old male after laparoscopic onlay mesh technique repair of the right inguinal hernia. Patient underwent three open and laparoscopic reoperations because of the neuralgie pain of the right leg, febrilia, and abdominal tenderness. Multiple adhesions of the coecum and the small bowel to the mesh and penetration of the onlay mesh to the adhered small bowel was revealed during the last laparoscopic revision. The mesh was removed and the affected small bowel was resected. Patient had no other complications again. Such serious complications on the basis of the mesh hernioplasty are probably rare or remain simply unpublished.

        Key words: : groin hernia - mesh implantation - small bowel perforation - late complication