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[Inguinal bladder hernia. Report of 4 cases]

G Server Pastor1, P López Cubillana, G Hita Villaplana

  • 1Servicio de Urología, Hospital Virgen de la Arrixaca, El Palmar Murcia.

Actas Urologicas Espanolas
|June 1, 1994
PubMed
Summary

Inguinal hernias involving the bladder (inguino-vesical hernias) are uncommon despite the prevalence of inguinal hernias. Diagnosis can be challenging, often discovered incidentally during inguinal herniorrhaphy, with potential for rare complications.

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Area of Science:

  • Urology
  • Surgical Anatomy

Background:

  • Vesical hernias are rare, with inguinal hernias being a notable exception.
  • Diagnosis of inguino-vesical hernias is often challenging and frequently incidental.
  • Complications can arise during inguinal herniorrhaphy if the bladder is not properly identified.

Observation:

  • This study presents four cases of inguino-vesical hernia.
  • Three of these cases involved massive hernias.
  • A comprehensive literature review on inguino-vesical hernias is included.

Findings:

  • Inguino-vesical hernias, though rare, present diagnostic difficulties.
  • Incidental diagnosis during inguinal herniorrhaphy is common.
  • Failure to identify the bladder can lead to rare but significant complications.

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Implications:

  • Highlights the importance of careful surgical technique and bladder identification during inguinal hernia repair.
  • Underscores the need for increased awareness and diagnostic vigilance for inguino-vesical hernias.
  • Contributes to the understanding of rare hernia presentations and their management.