Inguinal Bladder and Ureter Hernia <i>Permagna</i>: Definition of a Rare Clinical Entity and Case Report

Angelis, M. De; Mantovani, Guido Massimiliano; Lecce, Francesco Di; Boccia, Luigi

doi:10.1155/2018/9705728

Cited by 12 publications

(20 citation statements)

References 26 publications

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“…In the present case, there was no such history, and that makes it extremely unique. There are case reports of herniation of the ureter along with the urinary bladder [6]; however, in this case, it was an isolated herniation of the ureter with hydroureteronephrosis without a visible calculus. Two types of ureteral herniations have been described: paraperitoneal and extraperitoneal [7,8].…”

Section: Discussionmentioning

confidence: 72%

Herniation of ureter: a rare cause of hydroureteronephrosis

Gupta

Sharma

Maurya³

et al. 2021

Egypt J Radiol Nucl Med

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Background Omentum and bowel loops are commonly seen in inguinal hernia. An unusual case of extraperitoneal herniation of ureter was detected in hernial sac with other contents, on computed tomography (CT) urography. Case presentation A 54-year-old male presented with inguinal hernia, with no previous history of surgery or trauma. Pre-operative screening showed a unilateral hydroureteronephrosis involving the pelvicalyceal system and entire ureter. No calculus was visualized in the ureter on ultrasound. On non-contrast CT (NCCT) followed by CT urography, the ureter was seen descending into the hernia sac causing hydroureteronephrosis. The patient subsequently underwent mesh repair surgery of the inguinal hernia with meticulous reduction of the herniated contents including the ureter, resulting in complete resolution of the hydroureteronephrosis. Conclusion An isolated extraperitoneal inguinal herniation of the ureter without concomitant urinary bladder involvement is extremely rare, especially with no prior history of trauma or surgery, as seen in our case. The case also exemplifies the role of pre-operative imaging as a protocol in cases of inguinal hernia to prevent per-operative complications.

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Section: Discussionmentioning

confidence: 72%

Herniation of ureter: a rare cause of hydroureteronephrosis

Gupta

Sharma

Maurya³

et al. 2021

Egypt J Radiol Nucl Med

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“…There are few reports of upper tract obstruction secondary to inguinoscrotal hernia in the literature, and all these cases are unilateral. 3 …”

Section: Discussionmentioning

confidence: 99%

“… 1 Possible imaging modalities to diagnose bladder herniation include non-contrast CT, CT urogram or ultrasound of the urinary tract and scrotum, 1 however it has been suggested that all patients receive a CT scan at some point due to a weak association with urinary tract malignancy. 3 …”

Section: Introductionmentioning

confidence: 99%

Upper and lower urinary tract obstruction secondary to inguinoscrotal hernia containing bladder and prostate gland

Dawson

Koo

2021

Urology Case Reports

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Inguinal hernia is a common clinical presentation, with 1–3% containing some of the urinary bladder. Most cases are asymptomatic and diagnosed intraoperatively at hernia repair. We describe a case of an 84-year-old man presenting with acute urinary retention in a bladder had herniated entirely into his scrotum. He was managed conservatively with urinary catheterisation and discharged home. He re-presented with urosepsis secondary to bilateral ureteric obstruction. This was treated with antibiotics and nephrostomy and his hernia was ultimately repaired. Clinicians should consider both upper and lower urinary tract obstruction in patients with significant bladder herniation.

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“…При увеличении внутрипузырного давления мочевой пузырь может выбухать в паховый канал. Это встречается в 0,5-4% всех паховых грыж [7]. Описано дивертикулярное выбухание пузыря в бедренный канал [8].…”

Section: резюмеunclassified

Groin hernias: causes, diagnostics, and surgery

Подолужный¹,

Лесников²,

Шабалина³

2019

Fundamentalʹnaâ i kliničeskaâ medicina

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Groin hernias occur in 27–48% of men and 3–6% of women during lifetime. Among the causes are inherited or age-related connective tissue or muscular dysplasia, lack of diverticular obliteration in fetal parietal peritoneum, pre-peritoneal lipomas migrating into the hernia ring, and congenital, postpartum, or postoperation dilation of the femoral ring. Physical examination and examination of the preperitoneal space reveals hernia in 93% and 100%, respectively, yet ultrasound examination, computed tomographic peritoneography, magnetic resonance imaging are also employed to confirm the diagnosis. An established technique for the treatment of groin hernias includes opening the inguinal canal, high ligation of the hernia sac, and repair of the inguinal canal, altogether termed herniorrhaphy. Suprapubic or inguinal incision permits closure of the hernia sac without involving the inguinal canal (herniotomy). Implementation of synthetic meshes led to the increase in hernioplasty, i.e. reinforcement of the inguinal canal upon the inguinal canal repair. Laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) hernioplasty became widely used along with the development of endoscopic surgery. In these techniques, mesh is placed between the peritoneum and transversalis fascia, closing both inguinal canal and femoral ring. Overall, modern surgical techniques reduced the time of treatment, disability and disease recurrence to 1.4–2%.

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Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

Cited by 12 publications

References 26 publications

Herniation of ureter: a rare cause of hydroureteronephrosis

Herniation of ureter: a rare cause of hydroureteronephrosis

Upper and lower urinary tract obstruction secondary to inguinoscrotal hernia containing bladder and prostate gland

Groin hernias: causes, diagnostics, and surgery

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