Massive Inguinal Scrotal Bladder Hernias: A Review of the Literature with 2 New Cases

Thompson, Jesse E.; Taylor, J. Bradley; Nazarian, Nahid; Bennion, Robert S.

doi:10.1016/s0022-5347(17)45321-3

Cited by 65 publications

(47 citation statements)

References 17 publications

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“…It is a rare pathological condition with high predominance in males, observed in 1-4% of all hernias in that location [11]. However, much higher incidence (10%) was revealed in men aged over 50 [3].…”

Section: Discussionmentioning

confidence: 98%

Urinary bladder diverticulum as an unusual content of the inguinal canal

Burdan

Starosławska²,

Mocarska³

et al. 2014

Folia Morphol

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Section: Discussionmentioning

confidence: 98%

Urinary bladder diverticulum as an unusual content of the inguinal canal

Burdan

Starosławska²,

Mocarska³

et al. 2014

Folia Morphol

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“…Although some advocate resection of the herniated bladder [11], others believe that simple reduction and herniorrhaphy are adequate [12]. However, if there is infarction of the bladder wall, the affected part should be resected, and if there is associated urinary outlet obstruction, it should also be corrected.…”

Section: Discussionmentioning

confidence: 99%

Scrotal cystocele in a 2-year-old Nigerian child

Okoro

Anele

2009

Journal of Pediatric Surgery

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“…As described, the scrotal sliding hernia contained the major part of the bladder including a bladder tamponade (as a result of an internal wall rupture during incarceration). This is a rare form of recurrence according to literature [6][7][8][9][10][11][12]. Some of these case reports include patients with obstructive symptoms of the bladder outlet or even bladder tumours [7,11].…”

Section: Discussionmentioning

confidence: 99%

Recurrent indirect scrotal hernia with incarcerated urinary bladder tamponade

Federmann

Klockenbrink

2009

Eur Surg

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Zusammenfassung. Grundlagen: Skrotalhernien mit Harnblasenanteilen sind selten, noch seltener ihre Einklemmung. Rezidivhernien nach Lichtenstein-Operation treten häufigerer medial als lateral auf.Methodik (Kasuistik): Wir berichten über einen 73-jährigen Mann, der mit einer indirekten inkarzerierten und rezidivierenden Skrotalhernie vier Jahre nach Lichtenstein-Herniotomie operiert wurde. Bruchinhalt war ein Großteil der Harnblase mit Blasentamponade.Ergebnisse: Die möglichen Gründe des erweiterten inneren Leistenrings werden diskutiert. Zusätzlich zu einem eventuell zu weiten ,,inneren Leistenring'' nach primärer Lichtenstein-Operation könnte ein HarnblasenOutlet-Syndrom z. B. als Folge einer Prostata-Hypertrophie durch erhöhten intraabdominellen Druck kontinuierlich am Netzspalt weiter reißen und so wesentlicher Faktor der Pathogenese einer indirekten Rezidivhernie sein.Schlussfolgerungen: Ein Netzriss durch erhöhten intraabdominellen Druck kann auch Jahre nach Lichtenstein-Operation zu einer indirekten Rezidivhernie beitragen.Schlüsselwörter: Leistenhernie, Rezidiv, Inkarzeration, Harnblase, Harnblasentamponade.Summary. Background: Scrotal herniation of the urinary bladder is rare, there are few case reports about incarceration. Recurrent hernias after Lichtenstein procedure are more often medial than lateral hernias.Methods (case report): We report on a 73-year-old patient presenting a recurrent indirect incarcerated scrotal sliding hernia four years after Lichtenstein procedure. It contained the major part of the urinary bladder with a bladder tamponade. Results:The possible reasons of the wide internal ring are discussed. In addition to a somewhat wider internal ring of the primary Lichtenstein operation a bladder outlet syndrome e.g. caused by prostate hypertrophy may increase the intra-abdominal pressure resulting in a continuous tearing of the mesh split and thus can be an important factor in the pathogenesis of a recurrent hernia.Conclusions: Mesh rupture may cause recurrent hernias even years after Lichtenstein operation.

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Massive Inguinal Scrotal Bladder Hernias: A Review of the Literature with 2 New Cases

Cited by 65 publications

References 17 publications

Urinary bladder diverticulum as an unusual content of the inguinal canal

Urinary bladder diverticulum as an unusual content of the inguinal canal

Scrotal cystocele in a 2-year-old Nigerian child

Recurrent indirect scrotal hernia with incarcerated urinary bladder tamponade

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