Mazketli W R, Pérez P R, Amat Cecilia M, Merenciano Cortina F J, de la Morena Valenzuela E
Servicio de Urología.
Actas Urol Esp. 1996 Oct;20(9):845-8.
Presentation of one case of scrotal vesical hernia in a 66-year old patient who presented with scrotal mass, micturition difficulty and two-phase micturition that improved when pressure was exerted on the scrotum. Diagnosis was established by physical examination and CUMS. The patient underwent surgery during which a direct inguinal hernia due to paraperitoneal vesical sliding was found. Right herniorrhaphy was performed with Shouldice's technique. Postoperative radiological monitoring showed normal vesical morphology. The pathogeny, classification and treatment, as well as the differential diagnosis uncommonly reported by the authors consulted, are commented.
一名66岁患者出现阴囊膀胱疝,表现为阴囊肿块、排尿困难和分段排尿,对阴囊施压时症状改善。通过体格检查和计算机断层扫描尿路造影(CUMS)确诊。患者接受手术,术中发现腹膜旁膀胱滑动导致的直疝。采用Shouldice技术进行右侧疝修补术。术后影像学监测显示膀胱形态正常。本文对病因、分类和治疗,以及作者查阅的文献中罕见报道的鉴别诊断进行了评论。