Blah M, Nouira Y, Kallel Y, Hafsia G H, Horchani A
Service d'urologie, hôpital La Rabta, Tunis, Tunisie.
Ann Chir. 2005 Dec;130(10):633-5. doi: 10.1016/j.anchir.2005.06.008. Epub 2005 Jul 13.
Inguinal hernia of the bladder is uncommon. The diagnosis is frequently done during surgery. It can be evoked before surgery when the patient presents with irritative and obstructive lower urinary tract symptoms. Retrograde urethrocystography or computerized tomography confirm the diagnosis. We report a case of bilateral inguinal hernia involving the bladder at the right side in a 87 years old man who had a surgical history of transvesical adenomectomy of the prostate. The diagnosis was done on the retrograde urethrocystography. We performed bilateral herniorrhaphy with herniated bladder reduction. The postoperative history was uneventful.
膀胱腹股沟疝并不常见。诊断通常在手术过程中进行。当患者出现刺激性和梗阻性下尿路症状时,可在手术前作出诊断。逆行尿道膀胱造影或计算机断层扫描可确诊。我们报告一例87岁男性双侧腹股沟疝,右侧累及膀胱,该患者有经膀胱前列腺腺瘤切除术的手术史。诊断通过逆行尿道膀胱造影作出。我们进行了双侧疝修补术并还纳突出的膀胱。术后情况平稳。