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A case of indirect inguinal bladder hernia treated by laparoscopic hernia repair
Atsushi Kohga1, Takuya Okumura1, Kimihiro Yamashita1
1Division of Surgery, Fujinomiya City General Hospital, Fujinomiya, Japan.
Insights
This case report details a rare inguinal bladder hernia in a 78-year-old man. Laparoscopic surgery successfully treated the recurrent condition, offering a minimally invasive option for this uncommon hernia type.
Area of Science:
- Urology
- Gastroenterology
- Surgical Innovation
Background:
- Inguinal bladder hernia is an exceptionally rare condition, with limited documented cases, especially those managed surgically.
- Laparoscopic approaches for inguinal hernias are common, but their application to bladder hernias remains infrequent.
Observation:
- A 78-year-old male presented with a right inguinal bulge and pain, diagnosed via CT as an incarcerated inguinal hernia involving the small intestine and urinary bladder.
- Initial conservative management with manual reduction was followed by recurrence and readmission.
- A subsequent laparoscopic transabdominal preperitoneal repair was successfully performed.
Findings:
- The laparoscopic procedure involved careful reduction of the urinary bladder from the hernial orifice.
- A mesh prosthesis was utilized to repair the right inguinal hernia defect.
- This case highlights the successful application of laparoscopic surgery for a recurrent inguinal bladder hernia.
Implications:
- Laparoscopic repair offers a viable and potentially less invasive treatment option for rare inguinal bladder hernias.
- Successful management of this condition underscores the versatility of laparoscopic techniques in complex hernia cases.
- Further investigation into laparoscopic outcomes for inguinal bladder hernias may be warranted.
Abstract:
Inguinal bladder hernia is a rare clinical condition, and only a small number of reported cases have been treated by laparoscopic surgery. In the present case, the patient was a 78-year-old man who presented to our emergency department with a chief complaint of right inguinal bulge and pain. CT imaging revealed an incarcerated right inguinal hernia containing the small intestine and a portion of the urinary bladder. We performed manual reduction of the incarcerated intestine, and he was admitted to the surgical ward for follow-up. On the 19th day after discharge, recurrence of incarceration developed, and he was readmitted after manual reduction. A laparoscopic transabdominal preperitoneal repair was performed. After careful reduction of the protruding bladder from the hernial orifice, we repaired the right inguinal hernia with a mesh prosthesis. We experienced a rare case of right indirect inguinal bladder hernia that was treated successfully with laparoscopic repair.
