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Obstructive uropathy secondary to massive inguinoscrotal bladder herniation
M D Pasquale1, M Shabahang, S R Evans
1Department of Surgery, Georgetown University, Washington, D.C.
The Journal of Urology
|December 1, 1993
Summary
This case study highlights a rare instance of massive inguinoscrotal bladder herniation causing bilateral hydronephrosis. Surgical repair via inguinal incision successfully restored kidney function and reduced creatinine levels.
Area of Science:
- Urology
- Surgical Case Report
Background:
- Inguinal hernias involve the bladder in 1-4% of cases.
- Massive inguinoscrotal bladder herniation is exceptionally rare.
- Previous reports typically describe unilateral hydronephrosis.
Observation:
- A 45-year-old male presented with incomplete voiding, a massively enlarged right scrotum, and elevated creatinine.
- Preoperative computerized tomography revealed bilateral hydronephrosis.
- The patient was diagnosed with massive inguinoscrotal herniation of the bladder.
Findings:
- Surgical repair (herniorrhaphy) was successfully performed through an inguinal incision.
- Post-surgery, the patient's left kidney function normalized.
- Creatinine levels decreased, indicating improved renal function.
Implications:
- This case underscores the importance of considering bladder involvement in massive inguinoscrotal hernias.
- Bilateral hydronephrosis is an atypical presentation for this condition.
- Computerized tomography is crucial for accurate diagnosis.
- Inguinal surgical repair is an effective treatment option.