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Inguinoscrotal Hernia of the Urinary Bladder
Shravani Sripathi1, Najiha Farooqi1, Mohamed K Kamel1
1Department of General Surgery, Central Michigan University (CMU) Medical Education Partners, Saginaw, USA.
Cureus
|April 22, 2024
Summary
Inguinal bladder hernia (IBH) is a rare condition presenting as scrotal swelling. Early diagnosis and surgical management are crucial to prevent complications like bladder injury during repair.
Area of Science:
- Urology
- Surgical Gastroenterology
Background:
- Inguinal bladder hernia (IBH) is a rare condition often asymptomatic, presenting as scrotal swelling.
- It poses challenges during herniorrhaphy, with potential for bladder injury if unrecognized.
Observation:
- A case report details an 81-year-old male with an incarcerated right inguinal hernia containing small bowel and urinary bladder.
- Clinical presentation included abdominal pain, distension, and right groin swelling; CT confirmed hernia contents.
Findings:
- The urinary bladder was adherent to the hernia sac and successfully reduced.
- Lichtenstein tension-free hernia repair was performed with an uneventful postoperative course.
Implications:
- Unrecognized IBH can lead to iatrogenic bladder injury during surgery, especially in high-risk patients (obese, older males with urinary symptoms).
- Preoperative evaluation with imaging (CT, ultrasound, cystography) is recommended for suspected cases.
- Management involves bladder reduction/resection followed by hernia repair.
