Clinical and Radiographic Findings of a Sliding Inguinoscrotal Bladder Hernia (original) (raw)
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Scrotal cystocele in a sliding left inguino-scrotal hernia: A case report and review of literature
2020
Scrotal cystocele is a rare condition defined as massive inguino-scrotal herniation of the bladder; it may involve herniation of small part or diverticulum of bladder into scrotum. A 70-year-old male was admitted from the outpatient clinic complaining of left scrotal pain for seven hours duration. The pain was of acute onset, localized to lower abdomen, and aggravated by walking. On examination the patient looked unwell but vitally stable. There was a large tender ingiuno-scrotal hernia involving the left scrotum; the left testis was impalpable and the abdomen was soft. The diagnoses of obstructed inguino-scrotal hernia was made and intra-operatively a large indirect inguino-scrotal hernia was identified; hernial sac was opened containing segment of small bowel which became viable after decompression and hot path. On trying to remove the sac, there was a hollow organ that leaked fluid. By inserting a finger, the prostate was identified and a urinary bladder was verified using a Foley catheter. Urinary bladder and hernia were repaired and the patient was discharged in good condition. This was a rare case of left indirect cystocele. In the absence of diagnostic imaging, insertion of a Foley catheter pre-operatively is highly recommended.
Massive Inguino-Scrotal Urinary Bladder Herniation
Ankara Üniversitesi Tıp Fakültesi Mecmuası, 2009
Massive urinary bladder herniation is an uncommon condition. A 65-year-old obese man was admitted to our hospital complaining of dysuria, urinary frequency, urgency, two phased urination, recurrent urinary tract infection and a large scrotal mass. The patient was investigated with intravenous pyelography (IVP), cystography and computed tomography (CT). A big mass of inguinal hernia consisting of a part of the urinary bladder and propagating to scrotum was detected. The hernia was explored, the herniated part of the bladder was retracted and repositioned, fascial defect was repaired. This case emphasizes that patients who complain of two phased urination and a scrotal mass should be evaluated carefully since bladder can be herniated to scrotum. Otherwise, patients going through operation for inguinal hernia may cause suprises for the surgeon.
Inguinoscrotal Bladder Herniation: Report of 2 Cases and Literature Review
C. Inguinal bladder hernia is a rare clinical condition, reported in 1 to 4% of inguinal hernia cases. This study reports 2 cases of inguinoscrotal bladder herniation. The first case involves a 59-year-old male who had intermittent right scrotal mass for 2 years. The mass lesion protruded through the inguinal canal during voiding and disappeared after voiding. Voiding cystourethro-graphy demonstrated a dog-ear bladder herniation into the right scrotum. The second case in-volves an 81-year-old male diagnosed by computed tomography (CT) of the pelvis and cystogra-phy. Simple reduction of bladder herniation with herniorrhaphy was accomplished through an inguinal incision. Preoperative diagnosis should be considered when patients complain of inguinal mass re-duction after micturition. The diagnosis of bladder hernia can be confirmed by voiding cystoure-thrography or scrotal ultrasonography. Simple reduction of bladder herniation with repair of the posterior wall or internal ring is an a...
Inguinal Bladder Herniation: Two Case Reports and Review of Literature
Clinical Research in Urology
Inguinal scrotal hernia of the urinary bladder is a relatively rare condition in the clinical practice. It accounts for 1-4% of cases of inguinal hernias. Most patients are asymptomatic and are diagnosed incidentally on diagnostic imaging or during surgical repairs. They require a surgical intervention to correct the abnormality. This is a study of two cases that were seen and evaluated in our institute with bladder herniation with discussion of management plans and outcomes with a review of literature. Inguinal scrotal hernia is a rare condition to see in clinical practice. Early diagnosis is essential to prevent complication. Surgical management is the only mode of treatment.
Advances in Therapy, 2007
A sliding inguinal hernia is usually diagnosed during a surgical procedure rather than preoperatively. This report describes a 77-year-old man with a sliding vesicalinguinal-scrotal hernia. The preoperative diagnosis was established by a plain radiograph of the abdomen, which showed bladder calculi within the pelvic cavity and in the right groin area. A review of the literature revealed only 2 prior reported cases of bladder calculi within a vesical-inguinal-scrotal hernia.
Cystogram with dumbbell shaped urinary bladder in a sliding inguinal hernia
Journal of radiology case reports, 2009
Sliding inguinal hernias present with various symptoms and these are usually direct inguinal hernias containing various abdominal viscera. Case reports and series have been published with various organs and rare organs being part of the hernia. Urinary bladder is a known content of sliding hernias. This case report emphasizes this aspect in a picturesque manner and the importance of radiological investigations for pre-surgical evaluation.
A case of a large inguinoscrotal bladder hernia secondary to benign prostatic obstruction
Hinyokika kiyo. Acta urologica Japonica, 2005
Large bladder hernias protruding into the scrotum are rare, with 23 cases having been reported previously in Japan. We report a case of a patient with a bladder hernia secondary to benign prostatic obstruction who demonstrated a unique voiding procedure. The patient manually compressed his scrotum at micturition to facilitate bladder emptying. He underwent subcapsular prostatectomy, followed by inguinal hernia repair. Postoperatively, the voiding procedure and urinary flow returned to normal. We should pay attention to symptoms of bladder hernia in the follow-up of patients with bladder outlet obstruction.
Urinary bladder-containing incarcerated inguinoscrotal hernia: a case report
Journal of Surgical Case Reports
Inguinoscrotal hernia containing the urinary bladder is a rare entity found in 1–4% of inguinal hernias, while patients rarely present symptoms of urinary dysfunction. We present the case of a 79-year-old Caucasian male with acute renal dysfunction and incarcerated inguinoscrotal hernia containing the entire urinary bladder. The patient presented in the surgical emergency department due to an incarcerated right inguinoscrotal hernia and deteriorated renal function. Preoperatively, ultrasound imaging was performed, which showed the presence of the whole bladder in the hernia sac. The bladder was repositioned to its anatomic position and hernia was repaired through a modified Lichtenstein technique. In patients with inguinoscrotal hernia and acute urinary tract symptoms, surgeons should be aware of the possibility of inguinal bladder hernia. Preoperative imaging can help in preventing intraoperative bladder damage.
Left Inguinal Bladder Hernia that Causes Dilatation in the Ureter
PubMed, 2016
The scrotal bladder hernia is a rare condition that may present as scrotal swelling and urinary system obstruction or infection symptoms. Diagnosis of this condition before the operation decreases the severe complications like bladder injury during operation. In this article, a 75-year-old man presented to our clinic with right inguinal swelling and lower urinary system infection. Inguinal bladder hernia was diagnosed after performing a computed tomography. The hernia was repaired without any complications.