Tyler Robert, Vint Ross, Morton Lawrie
Department of Urology, Royal Alexandra Hospital, Paisley, UK
Department of Urology, Royal Alexandra Hospital, Paisley, UK.
J Surg Case Rep. 2013 Feb 6;2013(2):rjt001. doi: 10.1093/jscr/rjt001.
Cases of herniated bladder diverticulae causing inguinoscrotal hernias are rare, and there are 19 described in the English literature. We describe the case of a 64-year-old Caucasian man with a huge bladder diverticulum that herniated into his scrotum. The original diagnosis was that of inguinoscrotal hernia containing bowel contents. Radiological investigations revealed a urological cause, and he underwent a successful diverticulectomy. It is important to recognize that inguinoscrotal hernias can have urological origins, 1-4% being the reported figure. Clinical examination can lead to a general surgical diagnosis before further radiological investigations confirm the nature of the hernia. They prove difficult to both diagnose and surgically correct.
膀胱憩室疝导致腹股沟阴囊疝的病例罕见，英文文献中记载了19例。我们描述了一名64岁白种男性的病例，其巨大膀胱憩室疝入阴囊。最初诊断为含有肠内容物的腹股沟阴囊疝。影像学检查揭示了泌尿系统病因，他接受了成功的憩室切除术。必须认识到腹股沟阴囊疝可能源于泌尿系统，报道的比例为1% - 4%。在进一步影像学检查证实疝的性质之前，临床检查可能导致普通外科的诊断。它们在诊断和手术矫正方面都很困难。
