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Herniación inguinal de vejiga irreducible que contiene un cálculo intravesical: una rara patología dual
Rahul A Mishra1,2, Dinesh Ramaswamy2, Shanmugasundaram Rajaian3
1General Surgery, Grant Government Medical College, Mumbai, IND.
Cureus
|February 23, 2026
Resumen
Este reporte de caso detalla un caso poco común de herniación de vejiga inguinal complicada por un cálculo vesical. La obtención temprana de imágenes y la intervención quirúrgica coordinada fueron clave para el tratamiento exitoso y la prevención de complicaciones.
Área de la Ciencia:
- Urología; Reportes de casos quirúrgicos
Sus antecedentes:
- La herniación inguinal de vejiga es rara.; La asociación con cálculos vesicales es excepcionalmente infrecuente.
Objetivo del estudio:
- Reportar un caso raro de herniación inguinal de vejiga con un cálculo vesical.; Destacar la importancia de las imágenes preoperatorias y el manejo multidisciplinario.
Principales métodos:
- Tomografía computarizada (TC) para el diagnóstico.; Hernioplastia abierta bilateral con malla.; Vesicolitopaxia utilizando láser de holmio:YAG (Ho:YAG).
Principales resultados:
- Identificación exitosa del segmento herniado de la vejiga y el cálculo vesical mediante TC.; Extracción completa de un cálculo de vejiga de 2,5 × 1,8 cm.; Hernioplastia abierta bilateral sin complicaciones con malla.
Conclusiones:
- El diagnóstico temprano de la herniación de vejiga con cálculos es crucial para la planificación quirúrgica.; El manejo coordinado urológico y quirúrgico optimiza los resultados en hombres de edad avanzada con hernias inguinales y síntomas urinarios.
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