Bilateral inguinal bladder hernia following unilateral transabdominal preperitoneal repair. A case report and review of the literature

Almohaya, Nasser; Alabdrabalameer, Marwah Nasser E; Al-Anazi, Khalid Ahmed; AlMuhsin, Ahmed Mohammed; Eltomy, Hesham

doi:10.1016/j.amsu.2019.08.005

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Bei den seltenen beidseitigen Blasenhernien erkennt man im CT das sog. "Pelvic oder perineal Mickey Mouse Sign" [10,12,17,22], welches erstmals 2013 von Sagar A et al beschrieben wurde [17]. Man erkennt im Transversalschnitt die beidseitigen Ausstülpungen der Blasenwand in den Leistenkanal, sodass diese, die Ohren der Comicfigur und die Harnblase selbst, den Kopf nachahmen.…”

Section: Patientunclassified

Die Blasenhernie: eine Fallserie und Review der Literatur

Trenti¹,

Palermo²,

Huqi³

et al. 2020

Aktuelle Urol

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ZusammenfassungInguinale Blasenhernien machen unter allen Leistenhernien nur 1 – 4 % aus. Die Diagnosestellung kann aufgrund der atypischen Symptome erschwert sein und wird oft erst intraoperativ diagnostiziert. Umso wichtiger ist, es die Diagnose präoperativ zu stellen, um evtl. iatrogene Komplikationen zu vermeiden.Wir berichten über eine Fallserie von 5 Patienten in den letzten 20 Jahren, welche mit der seltenen Pathologie einer Blasenhernie in unserer Abteilung therapiert wurden.

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Section: Patientunclassified

Die Blasenhernie: eine Fallserie und Review der Literatur

Trenti¹,

Palermo²,

Huqi³

et al. 2020

Aktuelle Urol

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“…Surgeons should use their experience to decide which procedure to use. Meanwhile, there are concerns about intraoperative bladder injury during laparoscopic surgery due to technical difficulties [ 16 , 17 ]. Therefore, further studies are needed to clarify the superiority of laparoscopic herniorrhaphy for inguinal bladder hernia.…”

Section: Discussionmentioning

confidence: 99%

A case of indirect inguinal bladder hernia treated with laparoscopic transabdominal preperitoneal repair with high peritoneal incisional approach

Zotani,

Yamamoto,

Hyakudomi

et al. 2024

surg case rep

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Background Inguinal herniation of the urinary bladder is uncommon and those descending into the scrotum are even rarer. Although open anterior repair has been used for inguinal bladder hernia, the efficacy of laparoscopic herniorrhaphy has been reported in recent years. Case presentation A 63-year-old man presented with an irreducible right groin and scrotal bulge associated with voiding difficulty. Abdominal ultrasonography showed a dislocation of the urinary bladder descending into the right scrotum. Abdominal CT imaging revealed that a part of the bladder and small intestine was herniating into the scrotum through the internal inguinal ring and running laterally to the inferior epigastric artery. Under the diagnosis of indirect inguinal bladder hernia, the patient underwent trans-abdominal preperitoneal hernia repair (TAPP). The bladder herniated into the scrotum through the internal inguinal ring was replaced to the original position. Then the myopectineal orifice was exposed and covered with polypropylene mesh, where a horizontal peritoneal incision 4 cm above the hernia orifice, i.e., the high peritoneal incision approach (HPIA), allowed an easy peeling of the peritoneum and hernia sac. The patient’s postoperative course was uneventful and the voiding difficulty resolved. The patient continued to do well without recurrence at 20 months after surgery. Conclusion Preoperative evaluation with abdominal ultrasonography and CT scan allowed a precise diagnosis of a groin hernia with voiding difficulty. TAPP with HPIA was useful in the treatment of inguinal bladder hernia because this technique facilitated a quick confirmation of the hernia contents, secure dissection of the whole protruded bladder, and adequate replacement of the bladder to the original position without any injury.

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“…Nasser et al have reported a similar case in the literature. They managed the patient surgically with bilateral open Lichtenstein tension free repair with a successful outcome [11].…”

Section: Discussionmentioning

confidence: 99%

A case of inguinal hernia with partial bladder herniation

Philippe Niamien,

Macek,

Philippe Niamien

et al. 2024

Int J Case Rep Images

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Introduction: Inguinal hernia repairs are commonly performed, and recurrence remains one of the well-known complications. In rare cases, intra-abdominal organs can become entrapped in the hernia sac, risking incarceration and subsequent strangulation if not managed promptly. Case Report: A 78-year-old male previously underwent bilateral inguinal hernia repair presented to the hospital with acute onset abdominal distension with associated nausea and emesis. He had noticed a progressively enlarging bulge in his left groin with fluctuating abdominal pain. Prior to his presentation, he had been struggling with incomplete voiding and frequent micturition managed unsuccessfully with tamsulosin. On examination, the patient’s abdomen was soft and non-tender, but visibly distended with a large incarcerated recurrent left inguinal hernia. The patient was admitted and subsequently underwent computed tomography (CT) abdomen and pelvis examination, which demonstrated mild distension of small bowel loops and an inguinal hernia with an encased segment of urinary bladder. The patient was managed conservatively and scheduled for an outpatient open hernia repair. Intraoperatively, multiple hernia sacs comprised of bladder were visualized extending into the suprapubic region. Each hernia sac was carefully opened and reduced without damage to the urinary bladder. Postoperatively, he recovered without complications and had complete symptom resolution. Conclusion: This case illustrates a rare complication of a common procedure that holds significant morbidity if not managed promptly. Identification of urinary bladder involvement is essential to reduce the risk of iatrogenic bladder damage during surgical repair of an inguinal hernia and to ensure complete symptom resolution for the patient.

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Bilateral inguinal bladder hernia following unilateral transabdominal preperitoneal repair. A case report and review of the literature

Cited by 6 publications

References 11 publications

Die Blasenhernie: eine Fallserie und Review der Literatur

Die Blasenhernie: eine Fallserie und Review der Literatur

A case of indirect inguinal bladder hernia treated with laparoscopic transabdominal preperitoneal repair with high peritoneal incisional approach

A case of inguinal hernia with partial bladder herniation

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