PDF(Pubmed)
Abstract：
UNASSIGNED: Inguinal bladder hernia (IBH) accounts for <5 % of inguinal hernias. As to our knowledge, this is the first case report of a rare intraperitoneal IBH in Indonesia.
METHODS: Here we present a case report of a 58-year-old Indonesian male complaining of a groin mass on the right side since 1 year ago, accompanied by lower urinary tract symptoms (LUTS), two-stage micturition, lower abdominal discomfort and pain during urinating and coughing. Ultrasound revealed widened inguinal canal containing peritoneum and \"teardrop\" lesion at the inguinal continuing until the right scrotal. The patient was scheduled for open repair of inguinal hernia (herniorrhaphy) with tension-free mesh. Intraoperative findings include the entire bladder herniation located at intraperitoneal.
UNASSIGNED: Symptoms of IBH include inguinal or scrotal swelling with or without pain, LUTS, two-stage micturition, to various symptoms owing to complications. Pre-operative imaging might help to confirm diagnosis. The definitive treatment of IBH is either reduction or resection of the herniated bladder followed by surgical repair (herniorrhaphy).
CONCLUSIONS: IBH is rare but should be suspected in older males (≥50 years old), individuals with weak abdomino-pelvic musculature, and obesity. Pathologies of the bladder, such as bladder outlet obstruction (BOO), chronically distended bladder, and decreased bladder tone related to benign prostate hyperplasia (BPH) or bladder neck stricture can also increase risk of IBH. Treatment with open repair of inguinal hernia (herniorrhaphy) with tension-free mesh is the most common and preferred surgical approach.
METHODS: Here we present a case report of a 58-year-old Indonesian male complaining of a groin mass on the right side since 1 year ago, accompanied by lower urinary tract symptoms (LUTS), two-stage micturition, lower abdominal discomfort and pain during urinating and coughing. Ultrasound revealed widened inguinal canal containing peritoneum and \"teardrop\" lesion at the inguinal continuing until the right scrotal. The patient was scheduled for open repair of inguinal hernia (herniorrhaphy) with tension-free mesh. Intraoperative findings include the entire bladder herniation located at intraperitoneal.
UNASSIGNED: Symptoms of IBH include inguinal or scrotal swelling with or without pain, LUTS, two-stage micturition, to various symptoms owing to complications. Pre-operative imaging might help to confirm diagnosis. The definitive treatment of IBH is either reduction or resection of the herniated bladder followed by surgical repair (herniorrhaphy).
CONCLUSIONS: IBH is rare but should be suspected in older males (≥50 years old), individuals with weak abdomino-pelvic musculature, and obesity. Pathologies of the bladder, such as bladder outlet obstruction (BOO), chronically distended bladder, and decreased bladder tone related to benign prostate hyperplasia (BPH) or bladder neck stricture can also increase risk of IBH. Treatment with open repair of inguinal hernia (herniorrhaphy) with tension-free mesh is the most common and preferred surgical approach.
摘要：
■腹股沟膀胱疝（IBH）占腹股沟疝的<5％。至于我们的知识，这是印度尼西亚首例罕见的腹膜内IBH病例报告。
方法：在这里，我们介绍了一名58岁的印度尼西亚男性自1年前以来抱怨右侧腹股沟肿块的病例报告，伴有下尿路症状（LUTS），两级排尿，小便和咳嗽时的下腹部不适和疼痛。超声检查显示腹股沟管含腹膜，腹股沟处的“泪滴”病变持续到右阴囊。患者计划使用无张力网片进行腹股沟疝（疝修补术）的开放修复。术中发现包括位于腹膜内的整个膀胱疝。
■IBH的症状包括腹股沟或阴囊肿胀伴或不伴疼痛，LUTS,两级排尿，由于并发症的各种症状。术前影像学检查可能有助于确诊。IBH的最终治疗方法是减少或切除膀胱疝，然后进行手术修复（疝修补术）。
结论：IBH很少见，但在老年男性（≥50岁）中应怀疑。腹部-骨盆肌肉组织较弱的个体，和肥胖。膀胱的病理,如膀胱出口梗阻（BOO），慢性膀胱扩张，与良性前列腺增生（BPH）或膀胱颈狭窄相关的膀胱张力降低也会增加IBH的风险。采用无张力网片的开放式腹股沟疝修补术（疝修补术）是最常见和首选的手术方法。
方法：在这里，我们介绍了一名58岁的印度尼西亚男性自1年前以来抱怨右侧腹股沟肿块的病例报告，伴有下尿路症状（LUTS），两级排尿，小便和咳嗽时的下腹部不适和疼痛。超声检查显示腹股沟管含腹膜，腹股沟处的“泪滴”病变持续到右阴囊。患者计划使用无张力网片进行腹股沟疝（疝修补术）的开放修复。术中发现包括位于腹膜内的整个膀胱疝。
■IBH的症状包括腹股沟或阴囊肿胀伴或不伴疼痛，LUTS,两级排尿，由于并发症的各种症状。术前影像学检查可能有助于确诊。IBH的最终治疗方法是减少或切除膀胱疝，然后进行手术修复（疝修补术）。
结论：IBH很少见，但在老年男性（≥50岁）中应怀疑。腹部-骨盆肌肉组织较弱的个体，和肥胖。膀胱的病理,如膀胱出口梗阻（BOO），慢性膀胱扩张，与良性前列腺增生（BPH）或膀胱颈狭窄相关的膀胱张力降低也会增加IBH的风险。采用无张力网片的开放式腹股沟疝修补术（疝修补术）是最常见和首选的手术方法。
