Gerard Nicholas O, Mortell Tatjana M, Izadpanah Amin, Belding Cameron W, Jones Steven D
Surgery, Tulane University School of Medicine, New Orleans, USA.
Cureus. 2024 May 11;16(5):e60108. doi: 10.7759/cureus.60108. eCollection 2024 May.
Inguinal hernias involving the bladder are exceedingly rare and pose a diagnostic challenge. Identifying bladder involvement within an inguinal hernia is imperative to avoid iatrogenic bladder injuries and subsequent complications. Here we discuss a case of inguinal bladder herniation and bladder visualization using methylene blue dye intraoperatively. We present a case of a 45-year-old male who presented with a six-hour history of dysuria and a painful non-reducible right-sided groin mass that had previously been reducible for 17 years. Computed tomography demonstrated an irreducible indirect inguinal hernia-containing bladder. Open Lichtenstein repair was performed, and intraoperative methylene blue-dyed saline successfully identified the herniated bladder, preventing iatrogenic bladder injury. This case report demonstrates the importance of preoperative imaging and intraoperative visualization for the prevention of complications in a rare occurrence of a strangulated indirect inguinal hernia-containing bladder.
涉及膀胱的腹股沟疝极为罕见，且诊断具有挑战性。识别腹股沟疝内的膀胱受累情况对于避免医源性膀胱损伤及后续并发症至关重要。在此，我们讨论一例腹股沟膀胱疝病例，并介绍术中使用亚甲蓝染料进行膀胱可视化的情况。我们报告一例45岁男性患者，其有6小时尿痛病史，右侧腹股沟有一疼痛性不可复性肿块，该肿块此前17年一直可复。计算机断层扫描显示为含膀胱的不可复性间接腹股沟疝。实施了开放式利chtenstein修补术，术中用亚甲蓝染色的盐水成功识别出疝出的膀胱，预防了医源性膀胱损伤。本病例报告证明了术前影像学检查和术中可视化对于预防罕见的绞窄性含膀胱间接腹股沟疝并发症的重要性。
