Acute renal failure resulting from huge inguinal bladder hernia
Andrew A Wagner1, Paul Arcand, Mitchell H Bamberger
1Division of Urology, University of Massachusetts School of Medicine, Worcester, Massachusetts 01655, USA.
Urology
|July 13, 2004
Summary
A rare inguinal/scrotal bladder hernia caused acute renal failure in a 66-year-old man. Prompt diagnosis with computed tomography and treatment with percutaneous nephrostomy and hernia repair led to recovery.
Area of Science:
- Urology
- Nephrology
- Surgical Case Reports
Background:
- Inguinal/scrotal bladder hernias are uncommon, rarely presenting with acute renal failure.
- Bladder herniation can lead to bilateral ureteral obstruction and subsequent kidney injury.
Observation:
- A 66-year-old male presented with a large scrotal mass, metabolic acidosis, and azotemia.
- Computed tomography revealed complete bladder herniation into the scrotum and bilateral hydronephrosis.
Findings:
- The patient's renal function improved significantly after percutaneous nephrostomy placement and stabilization.
- Surgical repair of the bladder hernia was successfully performed following initial drainage.
Implications:
- This case highlights the importance of considering bladder hernia in the differential diagnosis of scrotal masses causing renal failure.
- Computed tomography is a valuable rapid diagnostic tool for this rare condition.
- Nephrostomy drainage is a crucial step for patient stabilization before surgical intervention.
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