Ecer Gökhan, Baytok Ahmet
Urology Department, Karapınar State Hospital, Karapınar, Konya, Turkey.
Radiology Department, Selcuk University school of Medicine, Konya, Türkiye.
J Ultrasound. 2025 Jun 17. doi: 10.1007/s40477-025-01036-5.
Bladder herniation into the inguinal canal is a rare entity, observed in approximately 1-4% of inguinal hernias, and often remains clinically silent. We present the case of a 77-year-old male with a known inguinal hernia and benign prostatic hyperplasia who experienced progressive left flank and groin pain over several years. Serial CT imaging demonstrated gradual herniation of the left bladder wall into the inguinal canal, leading to ureteral compression, hydronephrosis, and ultimately irreversible left renal atrophy. Despite multiple surgical recommendations, the patient had deferred intervention. This case uniquely illustrates the time-dependent evolution of bladder herniation and its potential to cause silent but severe upper urinary tract damage if not promptly recognized and treated.
膀胱疝入腹股沟管是一种罕见的情况，在大约1%-4%的腹股沟疝中可见，且通常在临床上无明显症状。我们报告一例77岁男性病例，该患者患有已知的腹股沟疝和良性前列腺增生，数年来左侧胁腹和腹股沟疼痛逐渐加重。系列CT成像显示左膀胱壁逐渐疝入腹股沟管，导致输尿管受压、肾积水，最终出现不可逆的左肾萎缩。尽管有多次手术建议，但患者推迟了干预。该病例独特地说明了膀胱疝的时间依赖性演变，以及如果不及时识别和治疗，其可能导致无症状但严重的上尿路损伤。
