부산대학교 도서관

A 64–year–old woman with a previous history of a reducible hernia presented to the emergency department with a right groin mass. She was found to have a painless elastic–soft mass in her right groin. Abdominal ultrasound and CT showed a part of the small intestine and ascites in the right groin area. She was taken to the operating room for emergency exploration of the right groin hernia. We chose the inguinal approach, and made an incision in the right groin. A right femoral hernia was confirmed intra–operatively. When an incision was made on what was thought to be the hernia sac, her bladder catheter became visible. We made the diagnosis of femoral urinary bladder herniation, repaired the bladder wall and performed a McVay repair. We removed the bladder catheter after a bladder leakage test on the 7th postoperative day. The patient was discharged on the 10th postoperative day. No recurrence has occurred until now, three and a half years after the operation.