Kraft Kate H, Sweeney Sarah, Fink Aaron S, Ritenour Chad W M, Issa Muta M
Resident in Urology.
Can Urol Assoc J. 2008 Dec;2(6):619-23. doi: 10.5489/cuaj.980.
Bladder involvement occurs in 1%-4% of cases of inguinal hernias. Among obese men aged 50 to 70, the incidence may reach 10%.1,2 The diagnosis of bladder involvement is often difficult to delineate at the time of presentation and may only become apparent at the time of herniorrhaphy. Surgical management pertaining to the approach, repair and potential need for bladder resection may challenge the surgeon. We report a series of 4 cases of large inguinoscrotal bladder hernias and provide a literature review. Our goal is to highlight the clinical presentation and the decisive issues surrounding the diagnosis and management of this condition.
膀胱受累见于1%-4%的腹股沟疝病例。在50至70岁的肥胖男性中，发病率可能达到10%。1,2膀胱受累的诊断在就诊时往往难以明确，可能仅在疝修补术时才变得明显。与手术入路、修补以及膀胱切除的潜在需求相关的手术管理可能给外科医生带来挑战。我们报告了4例巨大腹股沟阴囊膀胱疝病例系列，并进行文献复习。我们的目的是强调这种疾病的临床表现以及围绕其诊断和管理的关键问题。
