Casey Bradley, Hofstrand Reese, Bahekar Amol, Patel Divyang, Chhetri Bhaskar
Internal Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.
Cardiology, Cape Fear Valley Medical Center, Fayetteville, USA.
Cureus. 2023 Feb 28;15(2):e35594. doi: 10.7759/cureus.35594. eCollection 2023 Feb.
Cases of an inguinal bladder hernia (IBH) are rare as the diagnosis may be challenging because patients are often asymptomatic or have nonspecific symptoms. When patients are symptomatic, normally they complain of urinary symptoms. Our patient initially presented to the hospital because he had a ground-level fall after having chest pain while transitioning from a bed to a wheelchair. Incidentally in the emergency department, he was found to have scrotal edema, which was later diagnosed as inguinal bladder herniation. The patient did not have any further episodes of chest pain or abdominal pain once he was given medicinal therapy for his IBH. Surgery is usually the definitive treatment for inguinal bladder herniation, but our patient wished to try medicinal therapy and follow-up outpatient.
腹股沟膀胱疝（IBH）病例较为罕见，因为诊断可能具有挑战性，原因是患者通常没有症状或仅有非特异性症状。当患者出现症状时，通常会诉说泌尿系统症状。我们的患者最初因在从床上转移到轮椅时出现胸痛后摔倒在地而入院。在急诊科偶然发现他有阴囊水肿，后来被诊断为腹股沟膀胱疝。该患者在接受了针对其腹股沟膀胱疝的药物治疗后，未再出现胸痛或腹痛发作。手术通常是腹股沟膀胱疝的确定性治疗方法，但我们的患者希望尝试药物治疗并进行门诊随访。
