A Case of Abdominal Incisional Bladder Hernia
Atomu Suzuki1, Michinari Suzuki2, Satoshi Matsukuma1
1Department of Gastroenterological, Breast and Endocrine Surgery, JCHO Tokuyama Central Hospital, Shunan, JPN.
Cureus
|May 27, 2024
Summary
A woman in her 60s experienced lower abdominal pain and distention due to a bladder hernia. Surgical repair via direct suture closure was successful, with no recurrence four months post-operation.
Area of Science:
- Urology
- General Surgery
Background:
- Abdominal incisional hernias can occur post-surgery.
- Bladder involvement in hernias is a rare complication.
Observation:
- A woman in her 60s presented with a six-month history of lower abdominal distention and pain.
- Symptoms worsened, particularly before urination.
- Ultrasound and CT scans identified an abdominal incisional hernia involving the bladder.
Findings:
- Surgical exploration revealed a hernia portal of approximately 1.3 cm.
- Direct suture closure was performed to repair the hernia.
- The patient experienced a good postoperative recovery and was discharged on postoperative day two.
Implications:
- This case highlights the importance of considering bladder hernias in patients with abdominal incisional hernias.
- Direct suture closure is a viable surgical option for small bladder hernia defects.
- Successful surgical management can lead to good patient outcomes and prevent recurrence.
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