Hamidi Madani Ali, Mohammadi Nikouei Hossein, Baghani Aval Hamidreza, Enshaei Ahmad, Asadollahzade Ahmad, Esmaeili Samaneh
Urology Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Med Sci. 2013 Mar;38(1):62-4.
Inguinal bladder hernia is a rare clinical condition, with 1-3% of all inguinal hernias involving the bladder. Any portion of the bladder may herniate, from a small portion or a diverticulum to most of the bladder. We present a 55-year-old male with an intermittent right scrotal mass of 6 months' duration. The mass lesion protruded through the right inguinal canal before voiding and reduced after that. Scrotal sonography revealed a hypoechoic lesion in the scrotum that stretched cranially to the intra-abdominal portion of the bladder. Excretory urography showed a duplicated system in the left kidney and deviation of the left orifice to the right side of the trigon. Finally, cystography illustrated herniation of the bladder to the right scrotum. Surgical repair of the hernia was done with mesh. Follow-up cystography one month postoperatively revealed no herniation.
腹股沟膀胱疝是一种罕见的临床病症，在所有腹股沟疝中，有1%至3%涉及膀胱。膀胱的任何部分都可能发生疝出，从小部分或憩室到大部分膀胱。我们报告一名55岁男性，有持续6个月的间歇性右侧阴囊肿物。该肿物在排尿前通过右侧腹股沟管突出，排尿后缩小。阴囊超声显示阴囊内有一个低回声病变，向上延伸至膀胱的腹腔内部分。排泄性尿路造影显示左肾为重复系统，左输尿管口向膀胱三角右侧偏移。最后，膀胱造影显示膀胱疝入右侧阴囊。采用补片对疝进行了手术修复。术后1个月的随访膀胱造影显示无疝出。
