Inguinal Bladder Hernia Research Articles

A case of indirect inguinal bladder hernia treated with laparoscopic transabdominal preperitoneal repair with high peritoneal incisional approach

BackgroundInguinal herniation of the urinary bladder is uncommon and those descending into the scrotum are even rarer. Although open anterior repair has been used for inguinal bladder hernia, the efficacy of laparoscopic herniorrhaphy has been reported in recent years.Case presentationA 63-year-old man presented with an irreducible right groin and scrotal bulge associated with voiding difficulty. Abdominal ultrasonography showed a dislocation of the urinary bladder descending into the right scrotum. Abdominal CT imaging revealed that a part of the bladder and small intestine was herniating into the scrotum through the internal inguinal ring and running laterally to the inferior epigastric artery. Under the diagnosis of indirect inguinal bladder hernia, the patient underwent trans-abdominal preperitoneal hernia repair (TAPP). The bladder herniated into the scrotum through the internal inguinal ring was replaced to the original position. Then the myopectineal orifice was exposed and covered with polypropylene mesh, where a horizontal peritoneal incision 4 cm above the hernia orifice, i.e., the high peritoneal incision approach (HPIA), allowed an easy peeling of the peritoneum and hernia sac. The patient’s postoperative course was uneventful and the voiding difficulty resolved. The patient continued to do well without recurrence at 20 months after surgery.ConclusionPreoperative evaluation with abdominal ultrasonography and CT scan allowed a precise diagnosis of a groin hernia with voiding difficulty. TAPP with HPIA was useful in the treatment of inguinal bladder hernia because this technique facilitated a quick confirmation of the hernia contents, secure dissection of the whole protruded bladder, and adequate replacement of the bladder to the original position without any injury.

Huge left-sided sliding inguinal bladder hernia

Sliding inguinal bladder hernia (IBH) is a scarce pathology whose prevalence is higher in men and increases with age. Subject literature searches in PubMed, eLibrary, and MedLine databases covering 1990 to 2023 selected 27 articles for analysis. We studied the prevalence of sliding IBH, its diagnostic methods, and therapeutic tactics. The clinical case also presents our own observation of giant sliding IBH. In a 70-year-old man, the bladder was almost completely displaced into the hernia sac, and chronic kidney disease occurred due to urinary retention. After drainage of bladder, normalisation of creatinine and stabilisation of the patient's general condition, we performed hernioplasty.

A Rare Presentation of Urinary Bladder Diverticula as an Inguinal Hernia - A Case Report

Inguinal Bladder Hernia (IBH) is a common disorder requiring adequate surgical management. Association with multiple organs is prevalent but bladder involvement is rare, with 1-3% of inguinal hernias. Patients are generally asymptomatic and difficult to diagnose thus presenting as an incidental finding or diagnosed during surgery. Most literature advocate surgical repair as a standard, an open surgical approach is preferred more than laparoscopic.

A Case of Inguinal Bladder Hernia with Hydronephrosis

A Case of Inguinal Bladder Hernia with Hydronephrosis

Inguinal Bladder Hernia: About A Case Report

Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdominal or pelvic contents through the inguinal orifice. It is rare for the contents of the hernial sac to be bladder. Its discovery is most often fortuitous since no clinical sign generally allows it to be detected. The treatment is surgical which consists of reintegrating the bladder intra-pelvic. We report the case of a patient, in whom the diagnosis of an inguinal bladder hernia was made fortuitously after realizing an uro-scanner within the framework of the etiological assessment of a ureterohydronephrosis.

V-051 URINARY BLADDER HERNIA: THE PATIENT IS ALWAYS RIGHT

Abstract Inguinal bladder hernia is rare condition found in about 1–5% of inguinal hernias. Unless suspected, it can be missed and can cause injury to the urinary bladder. We hereby present a video of one such rare variety of inguinal bladder hernia which was missed by all preop investigstions done as a result of unequivocal clinical findings and not taking patients verbatim too seriously.

Bladder Hernia; A Case Report

Inguinal bladder hernia is a rare condition usually diagnosed per-operatively. Patients may present with inguinal swelling, dysuria, hematuria,or urinary urgency. Obesity, advancing age and poor musculature are risk factors. We hereby present a case of inguinal bladder hernia in a 47-year-old obese male presented to outpatient department with history of inguino-scrotal, partially reducible swelling, lower urinary tract symptoms, off and on haematuria and dysuria. Scrotal ultrasound showed clear fluid present in the scrotum which was communicating with bladder. This was confirmed by cystography showing “dog ear”sign. Hernia containing bladder was reduced and hernioplasty was performed.

CASE REPORT OF INGUINAL BLADDER HERNIA

Inguinal bladder hernia is a rare condition. The diagnosis is established either pre-operative by Ultrasound or intra operatively if not noticed before surgery. It is important to diagnose the problem and at the same time to avoid any damage or unexpected complication during surgery by good preparation and with expert hands. Theoutcome of surgery depends on many factors like the size of hernia, adhesions and abnormal anatomy or bladder diverticulum. Repositioning and catheterization of the bladder would be appropriate and safe way of management.

Complete inguinal bladder hernia causing acute right upper urinary tract obstruction

Case Summary: An 86-year-old male nursing home resident presented with increasing confusion and was initially treated for catheter-associated urinary tract infection. Computed tomography (CT) scan demonstrated complete inguinal bladder hernia with compression of the right vesico-ureteric junction leading to acute obstructive renal failure. Percutaneous nephrostomy was attempted but was not possible due to patient non-compliance. Patient improved with conservative management. Discussion: Bladder involvement in inguinal hernia is rare with most cases being identified at the time of hernia repair and there is a 17% risk of intra-operative bladder injury. Key risk factors include increasing age, male gender, lower urinary tract symptoms and previous hernia repair. Percutaneous nephrostomy followed by inguinal hernia repair is the treatment of choice for most patients. This case highlights that inguinal bladder hernia can lead to acute upper urinary tract obstruction even when the bladder is catheterised. Level of evidence: IV

Large extraperitoneal inguinal bladder hernia causing urinary retention.

Large extraperitoneal inguinal bladder hernia causing urinary retention.

Advantages of minimally invasive approach for inguinal bladder hernia repair: case report and literature review

: Inguinal bladder hernia (IBH) is a rare disease, with only 73 adult cases being reported in Medline over the past decade, 75 cases including the present report. Its preoperative diagnosis is difficult without typical presentation; however, the three most common signs/symptoms are urinary frequency, two-stage urination and acute kidney injury (AKI). Prompt diagnosis should be made in patients presenting with an inguinoscrotal mass along with the aforementioned symptoms. According to a review of the literature of the last decade, 93.3% of IBH diagnoses were made prior to surgery, compared to fewer than 10% in the past century. However, documented cases show that IBH is associated with significant complications if diagnosis is delayed. In addition, there were no reports on the laparoscopic extended-totally extraperitoneal (eTEP) in such cases. Herein, we report 2 cases of IBH along with the literature review. The first patient was diagnosed with IBH during open hernioplasty using saline insufflation via a Foley’s catheter. The second patient presented as an early recurrence, with incarceration after ipsilateral open hernioplasty. This case was diagnosed and successfully treated by eTEP repair. All patients recovered without complications. We aimed to report the diagnosis and surgical approach in IBH along with evidence-based discussion from published studies. The eTEP approach was feasible and safe for the treatment of an incarcerated extraperitoneal type of IBH. The advantages of a minimally invasive approach for IBH are discussed in this report.

\u201cLocus minoris resistentiae\u201d and connective tissue weakness in older women: a case report and literature review on pelvic organ prolapse with inguinal bladder hernia

BackgroundConditions such as genital prolapse and hernia are known to be related to connective tissue dysfunction. In this report on cases of the rare simultaneous finding of large genital prolapse and post-prolapse repair female inguinal bladder hernia, we aim to contribute to the discussion of a possible clinical definition of connective tissue weakness, for its clinical assessment and preoperative patient counselling.Case presentationThree cases of medial third-grade (MIII, Aachen classification) inguinal bladder hernia developing or enlarging after successful stage-IV pelvic organ prolapse (POP) repair at a university pelvic floor centre are presented. All patients were aged ≥ 80 years with long-standing postmenopausal status. One patient was followed for 5 years and two patients were followed for 6 months. In all patients, ultrasound revealed that the hernia sac contained the urinary bladder, which had herniated through the inguinal hernia orifice. A literature search revealed only one case report of direct female inguinal bladder hernia and few investigations of the simultaneous occurrence of POP and hernia in general.ConclusionThe simultaneous occurrence of inguinal hernia and female POP can lead to bladder herniation following prolapse surgery in the sense of a “locus minoris resistentiae”. Clinical examination for simultaneous signs of connective tissue weakness and counselling prior to pelvic reconstructive surgery could help to increase patients’ compliance with further surgical treatment for hernia.

154 Complete Inguinal Bladder Hernia Causing Acute Obstruction of Right Upper Urinary Tract

Abstract Case Summary An 86-year-old male nursing home resident presented with increasing confusion and was initially treated for catheter-associated urinary tract infection. CT scan demonstrated acute acalculous cholecystitis and complete inguinal bladder hernia with compression of right vesico-ureteric junction leading to acute obstructive renal failure. Percutaneous cholecystostomy and percutaneous nephrostomy were attempted but were not possible due to patient non-compliance. Patient improved with conservative management. Discussion Bladder involvement in inguinal herniae is rare with most cases being identified at the time of hernia repair and there is a 17% risk of intra-operative bladder injury. Key risk factors include increasing age, male gender, lower urinary tract symptoms and previous hernia repair. Percutaneous nephrostomy followed by inguinal hernia repair is the treatment of choice for most patients. Clinicians should aim to make the diagnosis of inguinal bladder hernia pre-operatively to reduce risk of intra-operative bladder injury during hernia repair. Acute acalculous cholecystitis tends to occur in critically ill patients and is a marker of poor prognosis.

An unusual case of obstructive uropathy.

Although inguinal bladder hernia associated with obstructive uropathy is an extremely rare entity, it should be suspected in elderly patients with bladder outlet obstruction presented with inguinal hernia and lower urinary tract symptoms.

Inguinal Bladder Hernia with Bladder Carcinoma: An Unusual Manifestation

Inguinal Bladder Hernia with Bladder Carcinoma: An Unusual Manifestation

Inguinal Vesical Hernia with Bladder Cancer: A Case Report

Introduction: Inguinal bladder hernia is a rare occurrence with a reported incidence of 1 – 4%. Additionally, the presence of bladder carcinoma within a herniated portion of the bladder is exceedingly rare.

Clinical characteristics of inguinal bladder hernias and total extraperitoneal repair.

Bladder hernia is relatively rare in cases of inguinal hernia. In some instances, bladder hernia may be treated as inguinal hernia if bladder prolapse is not recognized. Because of the rarity of inguinal bladder hernias, there are no related detailed reports from studies performed at a single institution. In our hospital, patients with suspected inguinal hernia undergo CT in the prone position, enabling the diagnosis of bladder hernia preoperatively. This study aimed to clarify the clinical characteristics of inguinal bladder hernias and consider noteworthy points in their laparoscopic treatment. This retrospective analysis included data from 32 consecutive patients with bladder hernia in 1126 patients with inguinal hernia. In each patient, the lengths of the hernial orifice and prolapsed bladder were measured on the CT images and intraoperatively. Totally extraperitoneal (TEP) repair was performed in all patients, who were then followed for 1 year postoperatively. Inguinal bladder hernia was detected on CT in 32 of 1126 patients (2.8%). Among them, only five (15.6%) had urological symptoms such as pollakiuria or the sensation of residual urine. The 32 patients were classified into three groups according to hernia subtype: intraperitoneal (n=12, 37.5%), para-peritoneal (n=15, 46.9%), and extraperitoneal (n=5, 15.6%). The prolapsed bladder of the extraperitoneal type was significantly shorter than that of the other subtypes. The prolapsed bladders were directly identified in the extraperitoneal space and repaired safely with TEP. One recurrence (3.1%) occurred 2 months postoperatively. Preoperative CT and TEP are useful for the definitive diagnosis and treatment of inguinal bladder hernia.

A Re-recurrent Case of Inguinal Bladder Hernia Treated by Transabdominal Preperitoneal Repair

A Re-recurrent Case of Inguinal Bladder Hernia Treated by Transabdominal Preperitoneal Repair

Bilateral inguinal bladder hernia following unilateral transabdominal preperitoneal repair. A case report and review of the literature.

Sliding hernia occurs when the hernia sac is partially formed by the wall of a viscus. The most common components of a sliding hernia includes the sigmoid colon, cecum, appendix, urinary bladder, and the ascending colon. However, the presence of bilateral vesical sliding hernia is rare and few cases have been reported in the literature. Patients with vesical sliding hernia may present with groin swelling with an associated lower urinary tract symptom. Computed tomography (CT) scan is the modality of choice for suspected cases which may reveal the classic pelvic micky mouse sign. The method of repair should be individualized taking in account the diagnostic findings. Although laparoscopic repair is becoming the mainstay management for inguinal hernia, the majority of sliding hernias are repaired using an open approach, which could be attributed to the presence of large hernias, associated complications, or recurrence with associated adhesions. We present a case of a 60-year-old male patient presented with bilateral inguinal swelling associated with urinary hesitancy and intermittency. He had undergone transabdominal preperitoneal (TAPP) repair for a left inguinal hernia 8 years ago. CT scan confirmed the presence of a bilateral hernia with the bladder herniating bilaterally. He underwent an elective bilateral open Lichtenstein tension-free mesh repair.

Inguinal bladder hernia, a rare cause of inguinal herniation: Report of two cases

Hernia surgery is the most frequent in visceral surgery. The bladder is rarely involved in groin hernia. This is when a diverticulum or a part of the bladder wall is incarcerated within the hernia. This affection is often asymptomatic. The diagnosis is made per-or post-operatively following complications. We report 2 cases of inguinal hernia involving the bladder in which the first case was diagnosed preoperatively whereas the second was diagnosed intraoperatively.