Inguinal bladder hernia: A case report and literature review
Adel Elkbuli1, Raed Ismail Narvel1, Mark McKenney2
1Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA.
International Journal of Surgery Case Reports
|May 13, 2019
Summary
Inguinal bladder hernia is rare, but prompt diagnosis using imaging is crucial for successful surgical repair and preventing complications. This case highlights the importance of considering bladder involvement in inguinal hernias.
Area of Science:
- Urology
- Surgical Case Reports
Background:
- Inguinal bladder hernia is an uncommon condition, affecting 1-4% of inguinal hernias.
- Preoperative diagnosis is rare, with most cases identified during surgery.
- Symptoms can be nonspecific, making diagnosis challenging.
Purpose of the Study:
- To report a case of inguinal bladder hernia diagnosed preoperatively.
- To emphasize the importance of diagnostic imaging in such cases.
- To highlight successful surgical management and outcomes.
Main Methods:
- A 58-year-old male presented with left lower quadrant pain, groin bulge, and dysuria.
- Physical examination revealed an irreducible left inguinal hernia.
- Computed tomography (CT) confirmed bladder protrusion into the inguinal hernia.
Main Results:
- The patient underwent successful open surgical reduction and hernia repair.
- Postoperative recovery was uneventful, with no complications.
- Preoperative diagnosis via CT imaging facilitated surgical planning.
Conclusions:
- Inguinal bladder hernia typically affects older, obese males.
- A high index of suspicion is warranted for patients with inguinal hernias.
- Preoperative diagnosis via imaging is key to preventing surgical complications like bladder injury.
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