Inguinal Bladder Hernia (IBH) managed by Lichtenstein technique: A case report.

Area of Science:

• Urology
• Surgical Anatomy
• Diagnostic Imaging

Background:

• Inguinal bladder herniation (IBH) is an infrequent diagnosis, comprising only 1-5% of all inguinal hernias.
• Predisposing factors for IBH include obesity, advanced age, male gender, and prior surgical history.
• Clinical presentation varies with hernia size, but Mery's sign (two-stage micturition) is a notable symptom.

Observation:

• A 40-year-old obese male presented with a progressive right groin bulge.
• The patient reported a history of two-stage micturition, indicative of Mery's sign.
• Imaging studies, including ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI), confirmed the diagnosis.

Findings:

• Diagnostic imaging modalities (US, CT, MRI) are crucial for confirming IBH.
• Mery's sign is a key clinical indicator for suspecting IBH.
• IBH diagnosis requires a high index of suspicion in individuals with predisposing factors and suggestive symptoms.

Implications:

• This case highlights the importance of considering IBH in the differential diagnosis of groin hernias, particularly in at-risk populations.
• Early and accurate diagnosis through imaging can prevent complications associated with delayed treatment.
• Awareness of IBH and its associated signs like Mery's sign can improve patient outcomes.