Diagnosis and Treatment of Giant Inguinoscrotal Bladder Hernia

Yıl 2023, Cilt: 3 Sayı: 2, 90 - 94, 21.08.2023

Hasan Turgut , Serkan Tayar , Güner Kemal Özgür

https://doi.org/10.58961/hmj.1158603

Öz

Inguinoscrotal bladder hernia is rarely seen, and diagnosis is often made intraoperatively as urological symptoms are uncommon. In this case report, the diagnosis and treatment of a patient with an inguinoscrotal bladder hernia is presented. A 67-year-old male patient presented with complaints of right inguinal pain and incomplete urine voiding for about two years. Physical examination revealed a giant incarcerated bladder hernia descending into the right inguinal canal and scrotum. Computed tomography showed a right inguinal hernia, including the bladder, accompanied by hydrocele. Open surgery was performed on the patient. The urinary bladder was sent to the intra-abdominal cavity, then the hernia and hydrocele were repaired. The patient was discharged on postoperative day three without complications. In the postoperative follow-up of the patient, his wound had a normal appearance, and he had no urinary symptoms.

Anahtar Kelimeler

Hernia, Operative therapy, Urinary bladder.

Dev İnguinoskrotal Mesane Fıtığı Tanı ve Tedavisi

Öz

İnguinoskrotal mesane fıtığı nadiren görülür ve ürolojik semptomlar nadir olduğundan tanı sıklıkla intraoperatif olarak konur. Bu olgu sunumunda inguinoskrotal mesane fıtığı olan bir hastanın tanı ve tedavisi sunulmaktadır. 67 yaşında erkek hasta yaklaşık iki yıldır sağ kasık ağrısı ve kesik idrar yapma şikayetleri ile başvurdu. Fizik muayenede sağ inguinal kanala ve skrotuma inen, dev bir inkarsere mesane fıtığı saptandı. Bilgisayarlı tomografide hidroselin eşlik ettiği mesaneyi içeren sağ kasık fıtığı görüldü. Hastaya açık cerrahi uygulandı. Mesane karın içi boşluğa gönderildi, ardından fıtık ve hidrosel onarıldı. Hasta postoperatif 3. günde komplikasyonsuz taburcu edildi. Hastanın postoperatif takibinde yarası normal görünümdeydi ve üriner semptomu yoktu.

Anahtar Kelimeler

Fıtık, Operatif tedavi, Mesane

Kaynakça

• Kalayci T, İliklerden Ü, Kotan M. Factors Affecting Morbidity, Mortality, and Recurrence in Incarcerated Femoral Hernia. J Coll Physicians Surg Pak. 2022;32(2):213-9.
• Taskovska M, Janež J. Inguinal hernia containing urinary bladder-a case report. Int J Surg Case Rep. 2017;40:36-8.
• Goyal S, Shrivastva M, Verma R, Goyal S. Uncommon contents of inguinal hernial sac: a surgical dilemma. Indian J Surg. 2015;77(2):305-9.
• Kalayci T, Iliklerden ÜH. Management of incidental Amyand hernia with a case report. East J Med. 2019;24(4):551-3.
• Levine B. Scrotal cystocele. J Am Med Assoc. 1951;147(15):1439-41.
• Habib A. A rare case of inguinal hernia with complete bladder herniation. Case Rep Surg. 2017; Article ID 4658169.
• Khan K, Chaudhry A, Feinman MB. Inguinoscrotal hernia containing the urinary bladder. Case Rep. 2016;2016:bcr2016217408.
• Ugur M, Atci N, Oruc C, Akkucuk S, Aydogan A. Case report: Left inguinal bladder hernia that causes dilatation in the ureter. Arch Iran Med. 2016;19(5):376-8.
• Madani AH, Nikouei HM, Aval HB, Enshaei A, Asadollahzade A, Esmaeili S. Scrotal herniation of bladder: a case report. Iran J Med Sci. 2013;38(1):62-4.
• Kartal M. Isolated Herniation of the Bladder into the Inguinal Canal: A Rare Case Report. J Res Clin Med. 2021;9(1):23-5.
• Moufid K, Touiti D, Mohamed L. Inguinal bladder hernia: four case analyses. Rev Urol. 2013;15(1):32-6.
• Yong GL, Siaw MY, Yeoh AJL, Lee GEG. Inguinal bladder hernia: case report. Open J Urol. 2013;3(5):217-8.
• François J, Defoort B, Muysoms F. Complicated inguino-scrotal bladder hernia: a case of two-step repair. Acta Chirurgica Belgica. 2017;117(2):122-4.
• Bisharat M, O’Donnell M, Thompson T, MacKenzie N, Kirkpatrick D, Spence R, et al. Complications of inguinoscrotal bladder hernias: a case series. Hernia. 2009;13(1):81-4.