A Rare Case of Inguinal Hernia with Complete Bladder Herniation

Abstract

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.

Inguinoscrotal hernia containing the urinary bladder successfully repaired using laparoscopic transabdominal preperitoneal repair technique: A case report

“…In 1%–4% of adult patients with an inguinal hernia, the urinary bladder is found within the hernia ; those who are elderly, obese, or have prostatic hypertrophy are more prone to this complication. Many reports of inguinal hernias containing the urinary bladder describe repair using the open Lichtenstein method , but we chose to perform TAPP instead. Although laparoscopic hernia repair has advantages, such as less postoperative pain and an earlier recovery, serious complications such as organ damage and vascular injury occur more frequently than with open repair .…”

“…The urinary bladder is found in 1%–4% of adult inguinal hernias . Most reports of this condition describe repair using the open Lichtenstein method . However, laparoscopic inguinal hernia repair has reported advantages over open repair, such as less postoperative pain and more rapid recovery .…”

Inguinal bladder hernia: A case report and literature review

“…Bladder herniation is present in 1–4% of all inguinal hernias, though incidence may be as high as 10% in obese men over the age of 50 [2]. Risk factors include male gender, advanced age, chronic urinary obstruction, weak pelvic musculature and obesity [3]. Significantly, only 7% of inguinal bladder hernias are diagnosed prior to surgery, with the vast majority being diagnosed intraoperatively and 16% diagnosed postoperatively due to complications including bladder injury and leakage [4].…”

“…Severe urologic complications include urinary tract infections, obstructive uropathy, and even bladder infarctions that require subtotal cystectomy [5,8]. Associated pathologies include benign prostatic hyperplasia, hydronephrosis, vesicouretertic reflux, and scrotal abscesses [3].…”

A foreign body in inguinal canal: A case report

“…Patients with complete bladder herniation will present with double voiding which means the patient should compress his scrotum to fully evacuate the bladder [ 6 ]. Inguinal bladder hernias are associated with many complications leading to obstructive uropathy, urinary tract infection, bladder infarction, epididymitis or even cancer.…”