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Sliding inguinal hernia with incarceration of urinary bladder diverticulum in a child

Po-Jui Ko1, How-Yu Lin, Wen-Hsi Lin

  • 1Department of Surgery, National Taiwan University Hospital, Taiwan.

International Surgery
|February 12, 2011
PubMed

Insights

A rare complication of pediatric inguinal herniorrhaphy involved a sliding hernia incarcerating a urinary bladder diverticulum. This led to bladder perforation, peritonitis, and sigmoid colon kinking, requiring surgical repair.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Gastroenterology

Background:

  • Inguinal herniorrhaphy is a common pediatric surgical procedure.
  • While generally safe, potential complications can arise, even with experienced surgeons.

Observation:

  • A 2-year-old boy presented with a sliding right inguinal hernia.
  • The hernia incarcerated a urinary bladder diverticulum, leading to complications post-surgery.

Findings:

  • The patient developed a small perforation in the urinary bladder's anterior wall.
  • Subsequent peritonitis and sigmoid colon kinking necessitated exploratory laparotomy for repair and drainage.
  • An anal tube was used to maintain sigmoid colon patency.

Implications:

  • This case highlights the rare but serious risk of urinary bladder diverticulum incarceration during inguinal hernia repair.
  • Surgeons must maintain meticulous technique and awareness of potential intraoperative injuries.
  • Early recognition and prompt surgical intervention are crucial for favorable outcomes in such complex cases.

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