학술논문

Urinary bladder-containing incarcerated inguinoscrotal hernia: a case report.
Document Type
Article
Source
Journal of Surgical Case Reports. Nov2020, Vol. 2020 Issue 11, p1-3. 3p.
Subject
*HERNIA
*SURGICAL emergencies
*KIDNEY physiology
*BLADDER
*KIDNEY diseases
*INGUINAL hernia
*BLADDER exstrophy
Language
ISSN
2042-8812
Abstract
Inguinoscrotal hernia containing the urinary bladder is a rare entity found in 1–4% of inguinal hernias, while patients rarely present symptoms of urinary dysfunction. We present the case of a 79-year-old Caucasian male with acute renal dysfunction and incarcerated inguinoscrotal hernia containing the entire urinary bladder. The patient presented in the surgical emergency department due to an incarcerated right inguinoscrotal hernia and deteriorated renal function. Preoperatively, ultrasound imaging was performed, which showed the presence of the whole bladder in the hernia sac. The bladder was repositioned to its anatomic position and hernia was repaired through a modified Lichtenstein technique. In patients with inguinoscrotal hernia and acute urinary tract symptoms, surgeons should be aware of the possibility of inguinal bladder hernia. Preoperative imaging can help in preventing intraoperative bladder damage. [ABSTRACT FROM AUTHOR]