Maheshwari Pankaj N, Arulvanan Nandan, Kalimkhan Aysha S, Yadhukrishnan Thavarool Puthiyedath
Department of Urology & Surgery, Fortis Hospital Mulund, Mumbai, India.
J Endourol Case Rep. 2020 Dec 29;6(4):487-489. doi: 10.1089/cren.2020.0143. eCollection 2020.
Inguinal herniation of the urinary bladder is rare. Although in most patients it is an incidental finding during hernia repair, some patients present with complications related to herniated bladder. A 65-year-old man presented with recurrent lower urinary tract infections and multiple episodes of lithuria. He was found to have an incarcerated right inguinal hernia with a large part of the urinary bladder inside the hernial sac. He did not have any features of bladder outlet obstruction. The herniated bladder had multiple small secondary vesical calculi that had probably formed in this hernial sac. He was managed by open surgical mesh hernioplasty followed by cystoscopic stone evacuation. Incarcerated bladder herniation, complicated by intravesical stone formation, is a rare clinical condition. Proper preoperative imaging with CT scan best confirms the diagnosis. Appropriate treatment includes reduction of the bladder, hernia repair, and endoscopic stone management.
膀胱腹股沟疝较为罕见。尽管在大多数患者中，它是在疝修补术中偶然发现的，但有些患者会出现与疝出膀胱相关的并发症。一名65岁男性出现复发性下尿路感染和多次尿路结石发作。他被发现患有嵌顿性右腹股沟疝，疝囊内有很大一部分膀胱。他没有膀胱出口梗阻的任何特征。疝出的膀胱有多个小的继发性膀胱结石，可能是在这个疝囊内形成的。他接受了开放手术网片疝修补术，随后进行了膀胱镜下结石清除术。嵌顿性膀胱疝并膀胱内结石形成是一种罕见的临床情况。术前通过CT扫描进行适当的影像学检查最有助于确诊。适当的治疗包括膀胱还纳、疝修补和内镜下结石处理。
