Abstract
IntroductionCases of patients with inguinoscrotal hernia containing the urinary bladder are very rare. These patients usually present with frequent episodes of urinary tract infection, difficulty in walking, pollakisuria and difficulty in initiating micturition because of incarceration of the urinary bladder into the scrotum.Case presentationWe describe the case of an 80-year-old Caucasian man with an incarcerated urinary bladder into the scrotum who underwent surgical repair with mesh.ConclusionsDiagnosis of such cases often requires not only clinical examination but also specialized radiological examinations to show the ectopic position of the urinary bladder. Surgical repair in these patients is a real challenge for surgeons.
Highlights
Cases of patients with inguinoscrotal hernia containing the urinary bladder are very rare
Inguinoscrotal hernia containing the urinary bladder is a highly rare condition, and it is always associated with recurrent episodes of urinary tract infection (UTI)
We report the case of an 80-year-old Caucasian man who presented to our Emergency Department (ED) with fever and a right direct inguinoscrotal hernia containing the urinary bladder
Summary
Inguinoscrotal hernia containing the urinary bladder is a highly rare condition, and it is always associated with recurrent episodes of urinary tract infection (UTI). We report the case of an 80-year-old Caucasian man who presented to our Emergency Department (ED) with fever and a right direct inguinoscrotal hernia containing the urinary bladder. Case presentation An 80-year-old Caucasian man presented to the ED with high fever, strangury, difficulty in initiating micturition and walking during the previous 6 days His relevant medical history included chronic obstructive pulmonary. The UTIs are of a recurrent nature, and, apart from the classical complications of inguinal hernias, the specific problems cause dramatic impairment of the patient’s quality of life [4] The mobility of these patients is restricted, and they often have recurrent episodes of UTI for which they should receive appropriate antibiotic treatment [5,6]. Giant inguinoscrotal hernias are often associated with extreme visceroptosis and tissue expansion of vascular pedicles
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