Stitch in urinary bladder: A catastrophe of mesh hernioplasty

Inguinal bladder hernia is an uncommon pathology found in less than 4% of all inguinal hernias. Pre-operative diagnosis is made in only 10% of cases and most are identified intra-operatively. The failure to diagnose bladder herniation may result in bladder injury and in rare instances are diagnosed later in post-operative period when the patient presents with peritonitis. Here we present a case of a 52-year-old male who underwent left mesh hernioplasty and presented to us after 10 days of surgery with features of peritonitis. On exploration, he was found to have a urinary bladder injury.