Inguinal Bladder Hernia: Case Report

Abstract

Sliding inguinal scrotal herniation of the bladder is rare but well-documented in the medical literature. The majority of the patients are asymptomatic and the hernia is usually diagnosed incidentally. Most authors had advocated surgically repair of the hernia with the reduction or resection of the bladder as the definitive management. We present an unusual case of inguinal scrotal herniation of the bladder presented as acute abdominal pain and treated with conservatively with urethral catheterization.

Inguinal hernia containing urinary bladder—A case report

“…Usually there is BOO which leads to bladder distension. In combination with weakening of abdominal and bladder wall the bladder slides through dilated inguinal ring [7] . There are reports of ureter herniating into hernia sac with the bladder or independently.…”

“…Sometimes patients may opt for conservative therapy such as watchful waiting or intermittent catheterization (to reduce the bladder out of the hernia sac) [6] , [7] .…”

A Rare Case of Inguinal Hernia with Complete Bladder Herniation

“…Inguinal bladder hernia was first described by Levine in 1951 as a scrotal cystocele, which is a rare clinical finding [ 6 ]. This condition has been reported extensively in literature, primarily in the form of case reports and case series [ 5 , 7 – 11 ]. Inguinal bladder hernias mostly occur in the elderly, and associated risk factors include obesity, chronic urinary obstruction, and a weak pelvic musculature [ 12 – 14 ].…”

Irreducible Hernia With Unusual Content

“…The most distinctive finding in a bladder diverticulum is two-stage voiding. During micturition, the non-herniated part of the bladder empties quickly but the urine in the herniated part may require manual reduction [ 3 ]. However, in our case, as the patient was asymptomatic, the diagnosis was made intraoperatively.…”