Unilateral Scrotal Bladder Hernia: A Rare Case Treated with Laparoscopic Approach
DOI:
https://doi.org/10.35790/msj.v8i1.62120Keywords:
hernia; sliding hernia; bladderAbstract
Abstract: Sliding hernia is a type of inguinal hernia in which the overlying organs and peritoneum form the wall of the hernia sac. Sliding hernia of bladder is a rare case and often found incidentally. We reported a 72-year-old man presented with a lump on the right thigh that reached the right scrotum six days before admission. The lump could not be re-entered and was accompanied by intermittent pain. The patient also complained of difficulty in spontaneous micturition and bloody urine. The patient had a history of vesicolithiasis and transurethral resection of the prostate (TURP) for benign prostate hyperplasia. Physical examination revealed a non-displaced right inguinal to right scrotal lump with tenderness. The patient's clinical features and risk factors favoured the diagnosis of sliding hernia of bladder. Haematological examination revealed leucocytosis and anaemia and the CT-Scan showed right scrotal bladder hernia. The patient underwent laparoscopic hernia repair with mesh and omenthopexy. The patient's clinical condition improved and the patient was discharged. Often patients with such condition are asymptomatic or have non-specific symptoms. Some radiological examinations can help make the diagnosis, albeit, few diagnoses are made preoperatively. Management of sliding hernia of bladder is vesical urinary repositioning or resection based on the patient's clinical condition. In conclusion, clinicians should consider sliding hernia of bladder as a differential diagnosis of inguinal hernia. Preoperative diagnosis can help achieve an accurate diagnosis, minimise complications, and safer management.
Keywords: hernia; sliding hernia; bladder
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