scholarly journals A Rare Case of Inguinal Hernia with Complete Bladder Herniation

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ayaaz Habib

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.

2015 ◽  
Vol 5 ◽  
pp. 33 ◽  
Author(s):  
Lih En Hong ◽  
Chrismin Tan ◽  
Jordan Li

Uretero-inguinal hernia in patients with native kidneys is rare. We report a case of an 84-year-old man who was diagnosed with obstructive uropathy secondary to uretero-inguinal hernia, with no past history of herniorrhaphy or congenital genitourinary malformation. Uretero-inguinal hernias are predominantly indirect inguinal hernias and may be paraperitoneal or extraperitoneal. Computed tomography (CT) is a non-invasive diagnostic tool for uretero-inguinal hernia. Herniorrhaphy is indicated in all cases of uretero-inguinal hernia to prevent obstructive uropathy.


2014 ◽  
Vol 99 (4) ◽  
pp. 391-397 ◽  
Author(s):  
Faruk Karateke ◽  
Sefa Ozyazici ◽  
Ebru Menekse ◽  
Hatice Özdogan ◽  
Mevlüt Kunt ◽  
...  

Abstract The Lichtenstein repair has been recommended as the gold standard for inguinal hernia repair. However, postoperative discomfort still constitutes a concern and an area for improvement. New mesh materials have been continuously introduced to achieve this goal. The goal of the present study was to investigate the outcomes of ULTRAPRO Hernia System (UHS) compared with Lichtenstein mesh repair. A total of 99 male patients with primary unilateral inguinal hernia were included in the study during the period of September 2010–January 2012. Patients with body mass index >30, comorbid diseases, and anesthetic risk of ASA-III and ASA-IV were excluded. The patients were randomly allocated to operation with the Lichtenstein technique (group L) or UHS. Demographics, operative and postoperative/recovery data, and short- and medium-term outcomes of the patients were recorded. A total of 50 patients in group L and 49 patients in group UHS were analyzed. The median follow-up time for the study was 33 months. There were no significant differences regarding demographics, complications, and rehabilitation between the groups. Overall, there was a prolonged operation time in the UHS group compared with the L group (UHS: 53.7 ± 5.7 minutes; L: 44.5 ± 5.5 minutes; P < 0.001). UHS may provide results similar to those for the Lichtenstein technique in open repair of inguinal hernias regarding perioperative course, complications, recovery, and recurrence rates. However, because of reduced costs and the lack of need for the exploration of the preperitoneal space, we conclude that the Lichtenstein technique should be recommended as the first choice.


2013 ◽  
Vol 2 (4) ◽  
pp. 43
Author(s):  
Sivasankar Jayakumar ◽  
Laila Hatsell ◽  
Nitin Patwardhan

Inguinal hernias in girls are often irreducible when they contain ovaries. Rarely the hernial sacs may have unusual contents like vermiform appendix, uterus and urinary bladder. We report a case of a female infant who presented with bilateral irreducible inguinal hernias presumed to be due to ovaries. However at exploration, the hernial sacs contained bilaterally an omental mass with calcifications. Presence of mucin with meconium- laden macrophages in the mass on histology suggested an antenatal intestinal perforation. To the best of our knowledge no such case has been reported in a female neonate. We present this rare case and discuss the unusual findings and the outcome.


2017 ◽  
Vol 4 (5) ◽  
pp. 1777
Author(s):  
Olaogun Julius Gbenga ◽  
Adegun Patrick Temi ◽  
Omotayo John Adetunji ◽  
Areo Peter Olufemi ◽  
Dada Samuel Ayokunle

Testicular infarction/gangrene is most commonly secondary to testicular torsion. Testicular infarction complicating a strangulated inguinal hernia has been well documented in pediatric literature but found to be rare in adults as it has only been reported in only 2 cases and none of which required orchidectomy for treatment. We report a rare case of strangulated inguinoscrotal hernia with testicular gangrene following a delayed presentation in a 25 year old boy with neglected groin hernia. The patient had orchidectomy in addition to primary bowel resection and anastomosis.


2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227645
Author(s):  
Douglas J Cassidy ◽  
Hemang Kotecha ◽  
Vicki Sein

We report a rare case of an inguinal hernia containing part of a native kidney and present a review of the literature with regard to urological findings in patients with inguinal hernias. This case involves an elderly man with known bilateral inguinal hernias with an incidental radiographic finding of a large right inguinal hernia containing the inferior pole of the right kidney. The patient was not symptomatic from the hernia and given his overall frailty, no surgical intervention was offered.


2021 ◽  
Vol 03 ◽  
Author(s):  
Samadhan Pawar ◽  
Chaitanya Borde ◽  
Atul Patil ◽  
Yasam Venkata Ramesh ◽  
Raj Nagarkar

Background: Although inguinal hernias are common, cases of inguinal hernia involving the bladder were observed to be very rare (<5%). Diagnosis of Inguinal Bladder Herniation (IBH) is very challenging, and it was reported to be identified only in ≤10% of cases prior to an operation and ≤20% during surgical intervention. The majority of the patients are asymptomatic or have non-specific symptoms, making the condition difficult to diagnose pre-operatively. In many cases, the condition is usually diagnosed intraoperatively. Therefore, diagnosis, surgical planning, and careful management can play a vital role in avoiding any unwanted complications. Case Presentation: In the present case, a 60-year-old male patient with a known history of malignancy was presented to our hospital without any symptoms related to inguinal hernias. Conclusion: During his routine check-ups, the patient was fortuitously diagnosed with IBH. The patient underwent surgery, and the defect was repaired using Bassini hernioplasty without any complications. Postoperative recovery was uneventful. On follow-up, no pain or urinary-related symptoms were reported.


2014 ◽  
Vol 99 (5) ◽  
pp. 560-564 ◽  
Author(s):  
Vilvapathy Senguttuvan Karthikeyan ◽  
Sarath Chandra Sistla ◽  
Duvuru Ram ◽  
Sheik Manwar Ali ◽  
Nagarajan Rajkumar

Abstract Massive inguinoscrotal hernias extending below the midpoint of the inner thigh, in the standing position constitute giant inguinoscrotal hernias. We report a patient who presented with giant right inguinal hernia with bilateral hydrocele for 25 years. He had no cardiorespiratory illnesses. He was taken up for surgery under general anesthesia after preoperative respiratory exercises. Sliding hernia with entire greater omentum, small bowel, and appendix as contents was identified. Meshplasty after omentectomy with bilateral subtotal excision of sac, right orchidectomy, and scrotoplasty were done. Giant inguinoscrotal hernias pose significant problems while replacing bowel contents because of the increase in intraabdominal and intrathoracic pressures. Recurrence is another complication seen after successful surgical management. Various techniques such as preoperative pneumoperitoneum, debulking abdominal contents with extensive bowel resections, or omentectomy and phrenectomy have been tried. Postoperative elective ventilation is also needed in many cases. We describe simple reduction with omentectomy as a viable technique in this patient. He did not need elective ventilation due to preoperative respiratory exercises and preparation and review of the literature.


2015 ◽  
Vol 10 (3) ◽  
pp. 200-201
Author(s):  
Bharathi Subramanian ◽  
Efstratios Gerakopoulos ◽  
Morkos Iskander ◽  
Rono Mukherjee

2017 ◽  
Vol 7 (1) ◽  
pp. 87-88 ◽  
Author(s):  
Ambikavathy Mohan ◽  
Kumar Srinivasan

ABSTRACT Inguinoscrotal bladder herniation has a reported incidence of 1 to 4%. Although small bladder herniations are noted at the time of inguinal hernia repair, large bladder herniation into the scrotum is rare. These patients have a unique presentation of signs and symptoms. We report a case of a male patient of age 64 years who had a large inguinoscrotal hernia with bladder. He successfully underwent hernioplasty after repositioning of the bladder. Now, he is symptom-free and on follow-up. How to cite this article: Mohan A, Srinivasan K. Scrotal Cystocele in a Sliding Left Inguinoscrotal Hernia: A Case Report and Review of Literature. Euroasian J Hepato-Gastroenterol 2017;7(1):87-88.


2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Juan Camilo Álvarez Restrepo ◽  
Susan Julieth Moreno Diaz ◽  
Sthepani Gómez Castro ◽  
Carlos Andres Riveros ◽  
Daniel Salazar Radi ◽  
...  

Abstract Background Ureteral inguinoscrotal hernias (UISH) are rare, associated in some cases with congenital abnormalities of the urinary tract. Their presentation is commonly asymptomatic, and diagnosis is mostly incidental. Case presentation A 65-year-old male patient presented to the emergency room with neurologic symptoms and an altered renal function. Further investigation revealed a ureteral paraperitoneal inguinoscrotal hernia with a pelvic ectopic solitary kidney and malrotation. Three days after hernia repair and placement of a ureteral JJ stent, the creatinine levels stabilized, and the patient was discharged. Conclusion This is the first reported case of a ureteral paraperitoneal inguinoscrotal hernia in a patient with a pelvic ectopic solitary kidney and malrotation. Currently, it is also the only case reported that has been managed by laparoscopy.


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