Dawson Jonathon, Koo Vincent
Alexandra Hospital, Redditch, B78 7UB, United Kingdom.
Urol Case Rep. 2021 Feb 12;37:101606. doi: 10.1016/j.eucr.2021.101606. eCollection 2021 Jul.
Inguinal hernia is a common clinical presentation, with 1-3% containing some of the urinary bladder. Most cases are asymptomatic and diagnosed intraoperatively at hernia repair. We describe a case of an 84-year-old man presenting with acute urinary retention in a bladder had herniated entirely into his scrotum. He was managed conservatively with urinary catheterisation and discharged home. He re-presented with urosepsis secondary to bilateral ureteric obstruction. This was treated with antibiotics and nephrostomy and his hernia was ultimately repaired. Clinicians should consider both upper and lower urinary tract obstruction in patients with significant bladder herniation.
腹股沟疝是一种常见的临床表现，1%至3%的病例包含部分膀胱。大多数病例无症状，在疝修补术中被诊断出来。我们描述了一例84岁男性病例，该患者因膀胱完全疝入阴囊而出现急性尿潴留。他通过导尿进行保守治疗后出院。他再次出现因双侧输尿管梗阻继发的尿脓毒症。对此采用抗生素和肾造瘘术进行治疗，最终修复了他的疝气。临床医生在膀胱严重疝出的患者中应考虑上下尿路梗阻的情况。
