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Vesical tumor within an inguinal bladder hernia: A case report

Abdulrahman Binjawhar1, Abdullah Alsufyani2, Mohammed Aljaafar1

  • 1Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Urology Case Reports
|April 26, 2021
PubMed

Insights

Inguinal bladder hernias are rare, often asymptomatic conditions. CT scans are crucial for diagnosing bladder neoplasms within hernias before surgery to prevent complications.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Bladder herniation through the inguinal canal is an uncommon condition, representing 1-4% of all inguinal hernias.
  • Obesity and male sex in patients over 50 are common risk factors for inguinal bladder hernias.

Observation:

  • A 65-year-old male presented with gross hematuria and right inguinal swelling.
  • Preoperative CT scan revealed a bladder neoplasm within a right inguinal vesical hernia.

Findings:

  • The patient underwent transurethral resection of bladder tumor (TURBT) and hernia repair.
  • CT scan is the preferred radiological method for diagnosing inguinal bladder hernias and associated neoplasms.

Implications:

  • Accurate preoperative diagnosis via CT scan is vital to prevent intraoperative bladder injury.
  • This case highlights the importance of considering bladder pathology in patients with inguinal hernias presenting with urinary symptoms.

Keywords:
Atypical bladder tumorBladder herniationInguinal herniaVesical tumor

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