Nicola Massimiliano, De Luca Francesco
Struttura Complessa di Urologia, Ospedale Fatebenefratelli e Oftalmico, Milan, Italy.
Arch Ital Urol Androl. 2006 Jun;78(2):77-8.
Bladder hernia is a rare condition, but crural herniation of the bladder into the scrotum is very rare. A case of bladder hernia presenting with urological symptoms is described. A 71-year-old man presented to the urological ward complaining for persistent frequency and nocturia associated with loss offorce and decrease of caliber of the urinary stream and the presence of a large mass of the right scrotum. An IVP (intra venous pyelography) showed a large herniation of the bladder through the right inguinal canal into the scrotum. An inguinal incision was made and a crural hernia was identified. The hernia sac, containing bowel and bladder, was dissectedfreefrom the spermatic cord and the testis and the hernia defect was repaired.
膀胱疝是一种罕见的病症,但膀胱经股环疝入阴囊则极为罕见。本文描述了一例以泌尿系统症状为表现的膀胱疝病例。一名71岁男性因持续尿频、夜尿,伴有排尿无力、尿流变细以及右侧阴囊出现巨大肿物而入住泌尿外科病房。静脉肾盂造影(IVP)显示膀胱经右侧腹股沟管大量疝入阴囊。做了腹股沟切口后发现股疝。将包含肠管和膀胱的疝囊从精索和睾丸上分离,并修复疝缺损。