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Updated: Jul 11, 2026
08:23
Standing Neurophysiological Assessment of Lower Extremity Muscles Post-Stroke
Published on: July 26, 2021
[Subacute weakness of the lower limbs].
M Bonani1, H Fischer, W Schmid
1Medizinische Klinik, Spital Zollikerberg. marco.bonani@spitalzollikerberg.ch
Praxis
|September 18, 2007
Summary
A rare case of giant inguinal hernia involving the entire urinary bladder caused bilateral urethral obstruction and renal failure. Prompt bladder decompression and hernia repair led to full renal recovery.
Area of Science:
- Urology
- Nephrology
- Surgical Gastroenterology
Context:
- Complete and isolated urinary bladder herniation is exceptionally rare.
- Bilateral urethral obstruction and subsequent renal failure secondary to bladder herniation are even rarer clinical scenarios.
Purpose:
- To report a rare case of a giant inguinal hernia encompassing the entire urinary bladder.
- To highlight the successful management and outcomes of such a complex case.
Summary:
- A 73-year-old male presented with symptoms of azotemia and hyperkalemia due to a giant inguinal hernia causing complete bladder herniation and bilateral urethral obstruction.
- Initial management involved transscrotal bladder drainage and decompression, followed by transurethral catheterization.
- The patient achieved full renal recovery, and the hernia was successfully repaired using the Lichtenstein procedure.
Impact:
- This case underscores the importance of considering rare diagnoses in patients with obstructive uropathy and abdominal masses.
- Successful surgical intervention can lead to complete resolution of renal failure in such complex herniation cases.
- Highlights the efficacy of the Lichtenstein procedure in managing large inguinal hernias involving visceral structures.
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