García Romero Emmanuel, Pérez López Rubén Daniel, Morales Tercero Yunuen Ailyn
Department of General Surgery, Universidad Nacional Autónoma de México, Mexico City 04360, Mexico.
J Surg Case Rep. 2025 May 12;2025(5):rjaf296. doi: 10.1093/jscr/rjaf296. eCollection 2025 May.
Inguinal hernias are common in surgical practice, with a small percentage involving bladder herniation. These inguinoscrotal bladder hernias, though rare, present significant diagnostic and treatment challenges. This case report details the diagnosis, treatment, and postoperative management of a 63-year-old male with benign prostatic hyperplasia, presenting with an inguinal hernia involving the bladder. Diagnosis was confirmed with physical examination and computed tomography scans, showing bladder herniation into the inguinal canal. Surgery involved laparoscopic inguinal hernia repair using a transabdominal preperitoneal approach. The surgery was successful with no complications and the patient was discharged 48 hours later. A three-month follow-up showed no recurrence or urinary complications. This case emphasizes the importance of considering inguinoscrotal bladder hernias in patients with inguinal bulges and urinary symptoms. Early diagnosis, supported by imaging and awareness, followed by laparoscopic repair, is essential for favorable outcomes in these rare cases.
腹股沟疝在外科手术中很常见，其中一小部分涉及膀胱疝。这些腹股沟阴囊膀胱疝虽然罕见，但在诊断和治疗方面存在重大挑战。本病例报告详细介绍了一名63岁良性前列腺增生男性患者的诊断、治疗及术后管理，该患者表现为腹股沟疝合并膀胱疝。通过体格检查和计算机断层扫描确诊，显示膀胱疝入腹股沟管。手术采用经腹腹膜前入路进行腹腔镜腹股沟疝修补术。手术成功，无并发症，患者48小时后出院。三个月的随访显示无复发或泌尿系统并发症。本病例强调了对于有腹股沟肿物和泌尿系统症状的患者，考虑腹股沟阴囊膀胱疝的重要性。在影像学检查和意识支持下进行早期诊断，随后进行腹腔镜修补术，对于这些罕见病例取得良好预后至关重要。
