Inage Kota, Mizusawa Hiroya, Mimura Yuji, Shimizu Fumiaki
Department of Urology National Hospital Organization Shinshu Ueda Medical Center Ueda Japan.
Department of Surgery National Hospital Organization Shinshu Ueda Medical Center Ueda Japan.
IJU Case Rep. 2019 Jun 30;2(5):276-278. doi: 10.1002/iju5.12100. eCollection 2019 Sep.
We encountered a patient in whom bladder inguinal hernia complicated by bladder stones was incidentally diagnosed. Bladder inguinal hernia containing stones in the prolapsed bladder is rare and only two cases have been reported.
The patient was an 82-year-old male in whom ascending colon cancer and inguinal hernia containing the urinary bladder were diagnosed based on abdominal computed tomography performed to examine anemia. The urinary bladder contained several small stones. Radical surgery for the hernia and lithotripsy of the urinary bladder were concomitantly performed with right colectomy. On stone analysis, the stones were found to be uric acid calculi.
In the three patients with inguinal hernia containing the urinary bladder complicated by stones, including our patient, two-stage urination, organic lower urinary tract obstruction, and prolapse of the urinary bladder reaching the scrotum were noted in all patients.
我们遇到一名偶然诊断为膀胱腹股沟疝合并膀胱结石的患者。脱垂膀胱内含有结石的膀胱腹股沟疝很罕见，仅报道过两例。
该患者为一名82岁男性，因检查贫血而行腹部计算机断层扫描，诊断为升结肠癌和包含膀胱的腹股沟疝。膀胱内有几颗小结石。同时进行了疝的根治性手术、膀胱碎石术及右半结肠切除术。结石分析显示结石为尿酸结石。
在包括我们患者在内的三名患有合并结石的含膀胱腹股沟疝患者中，所有患者均出现了二段排尿、器质性下尿路梗阻以及膀胱脱垂至阴囊的情况。
