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[A giant bladder hernia. Apropos a case]

T Casanueva Luis1, M A Cerdeira Fernández, S Urquijo Bustamante

  • 1Servicio de Urología, Hospital Nuestra Señora de Alarcos, Ciudad Real.

Actas Urologicas Espanolas
|April 1, 1997
PubMed
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Vesical hernia, a rare condition often linked to inguinal hernia repair, typically presents asymptomatically or with urinary hesitancy. Surgical intervention is the standard treatment for this uncommon bladder condition.

Area of Science:

  • Urology
  • Surgical Pathology

Background:

  • Vesical hernia is an infrequent clinical condition, predominantly affecting males.
  • It is often diagnosed post-inguinal hernia repair, with an incidence ranging from 1-10%.
  • The condition may remain asymptomatic or manifest as a 'two-stroke miction' (urinary hesitancy).

Observation:

  • The paper details a case of massive vesical hernia.
  • It also includes a comprehensive review of the existing medical literature on the subject.

Findings:

  • While uncommon, significant complications such as incarceration and strangulation leading to bladder wall necrosis can occur.
  • Radiological imaging, including intravenous urography (IVU), retrograde cystography, and computed axial tomography (CAT), are crucial for diagnosis.

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Implications:

  • Early diagnosis and surgical management are essential to prevent severe complications.
  • Understanding the association with inguinal hernias aids in clinical suspicion and diagnostic workup.