Strangulated Inguinal Bladder Hernia: A Rare Case

Résumé fourni par la source

Many organs can be associated with inguinal herniation, but bladder herniation is rare and occurs in only 1-4% of cases. A 48-year-old male patient attended the emergency department with a complaint of painful swelling in the left inguinal region that started during the day. In the patient whose vitals were stable, a decision was made for diagnostic laparoscopy due to significant tenderness in the left lower quadrant and suspicion of intestinal strangulation on Computed Tomography. On examination, the intestinal loops were intact, and a direct hernia was observed; then, open surgery was performed for hernia repair. Upon examination, it was observed that the blood supply to the herniated structure was impaired bladder tissue. The ischemic tissue wedge was resected and primary repaired. Mesh was utilized in the operation area. The patient, who was followed up with the postoperative urology clinic, was discharged on the 3rd postoperative day uneventfully. In patients presenting with strangulated recurrent herniation, it is crucial to consider the possibility of encountering retroperitoneal organs such as the bladder within the hernia sac. Additionally, in laparoscopic examination, if no intraperitoneal organ herniation is found, bladder herniation should be kept in mind.

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