PDF(Pubmed)
Abstract：
An inguinal bladder hernia (IBH) is an abnormal protrusion of the bladder into the inguinal canal accompanied by a peritoneum sheath that creates the hernia sac. Clinical presentations vary greatly from lower urinary tract symptoms (LUTS) and reduction in scrotal size after voiding to being entirely asymptomatic. Since inguinal bladder hernias are uncommon and often accompanied by varied and nonspecific symptoms, it is challenging to diagnose and rarely included in differentials. Currently, computerized tomography (CT) imaging with contrast or voiding cystourethrography is recommended for diagnosis. There is no consensus on the best treatment for inguinal bladder hernias, with options ranging from laparoscopic repair to catheterization. In this study, we report the case of inguinal bladder hernia in an 86-year-old male presenting with symptoms of recurrent hematuria and two failed voiding trials after a Foley catheter placement from prostatomegaly resulting in bladder diverticula, and IBH. He was treated with prostate artery embolization (PAE) to address LUTS related to benign prostatic hyperplasia (BPH). The resultant decreased prostatic volume resolved his symptoms of IBH, hematuria, and urinary retention.
摘要：
腹股沟膀胱疝（IBH）是膀胱异常突出到腹股沟管中，并伴有腹膜鞘形成疝囊。临床表现差异很大，从下尿路症状（LUTS）和排尿后阴囊大小减小到完全无症状。由于腹股沟膀胱疝并不常见，常伴有各种非特异性症状，诊断具有挑战性，很少包括在差异中。目前,建议使用对比或排尿膀胱尿道造影的计算机断层扫描（CT）成像进行诊断。关于腹股沟膀胱疝的最佳治疗尚无共识，选择范围从腹腔镜修复到导管插入术。在这项研究中,我们报告了一名86岁男性腹股沟膀胱疝的病例，该病例表现为复发性血尿的症状和两项失败的排尿试验。IBH。他接受了前列腺动脉栓塞（PAE）治疗，以解决与良性前列腺增生（BPH）相关的LUTS。前列腺体积的减少解决了他的IBH症状，血尿,和尿潴留。
