Karanikas Michael, Kofina Konstantinia, Foutzitzi Soultana, Deftereos Savas, Effraemidou Eleni, Lyratzopoulos Nikolaos, Polychronidis Alexandros
1st University Surgical Department, University Hospital of Alexandropoulis, Democritus University of Thrace, Alexandroupolis, Greece.
Department of Radiology, University Hospital of Alexandropoulis, Democritus University of Thrace, Alexandroupolis, Greece.
J Surg Case Rep. 2020 Nov 25;2020(11):rjaa092. doi: 10.1093/jscr/rjaa092. eCollection 2020 Nov.
Inguinoscrotal hernia containing the urinary bladder is a rare entity found in 1-4% of inguinal hernias, while patients rarely present symptoms of urinary dysfunction. We present the case of a 79-year-old Caucasian male with acute renal dysfunction and incarcerated inguinoscrotal hernia containing the entire urinary bladder. The patient presented in the surgical emergency department due to an incarcerated right inguinoscrotal hernia and deteriorated renal function. Preoperatively, ultrasound imaging was performed, which showed the presence of the whole bladder in the hernia sac. The bladder was repositioned to its anatomic position and hernia was repaired through a modified Lichtenstein technique. In patients with inguinoscrotal hernia and acute urinary tract symptoms, surgeons should be aware of the possibility of inguinal bladder hernia. Preoperative imaging can help in preventing intraoperative bladder damage.
包含膀胱的腹股沟阴囊疝是一种罕见的疾病，在腹股沟疝中占1%-4%，而患者很少出现排尿功能障碍的症状。我们报告一例79岁的白种男性病例，该患者患有急性肾功能不全，其腹股沟阴囊疝嵌顿并包含整个膀胱。患者因右侧腹股沟阴囊疝嵌顿及肾功能恶化就诊于外科急诊。术前进行了超声检查，结果显示疝囊内存在整个膀胱。将膀胱复位至其解剖位置，并通过改良的Lichtenstein技术修复疝。对于患有腹股沟阴囊疝和急性尿路症状的患者，外科医生应意识到腹股沟膀胱疝的可能性。术前影像学检查有助于预防术中膀胱损伤。
