PDF(Pubmed)
Abstract：
Inguinal bladder hernia (IBH) is a rare clinical condition that may present as scrotal swelling. Most patients are asymptomatic and found incidentally at the time of herniorrhaphy. IBH continues to pose a challenge to surgeons before, during, and even after herniorrhaphy. This case report aims to describe the case of the incarcerated right inguinal hernia containing the small bowel and the urinary bladder herniation. An 81-year-old male presented to the emergency department with complaints of abdominal pain, distension, and swelling in the right groin. Physical examination was remarkable for incarcerated right inguinal hernia with tenderness to palpation. A CT scan demonstrated a right inguinal hernia containing a small bowel. The urinary bladder was noted to be adherent to the hernia sac. The hernia sac and urinary bladder were reduced, and Lichtenstein tension-free hernia repair was performed. The postoperative course was uneventful without any complications. IBHs are uncommon. Unrecognized bladder hernias can cause bladder injury during surgery. It is particularly common in individuals with long-standing hernias and should be anticipated during surgery. High-risk patients including obese, older men, who have urinary symptoms that need further evaluation with a CT scan, ultrasound, or cystography to prevent iatrogenic injury and complications. Management consists of reduction or resection of the herniated bladder followed by hernia repair.
摘要：
腹股沟膀胱疝（IBH）是一种罕见的临床疾病，可能表现为阴囊肿胀。大多数患者无症状，在疝修补术时偶然发现。IBH以前继续对外科医生构成挑战，during,甚至在疝修补术后.此病例报告旨在描述包含小肠和膀胱疝的嵌顿性右腹股沟疝的病例。一名81岁的男性因腹痛而被送往急诊科，扩张，右腹股沟肿胀.体格检查对嵌顿性右腹股沟疝有触诊压痛的检查效果明显。CT扫描显示右腹股沟疝包含小肠。注意到膀胱粘附于疝囊。疝囊和膀胱减少，并进行了Lichtenstein无张力疝修补术.术后病程顺利，无任何并发症。IBHs并不常见。无法识别的膀胱疝可在手术过程中引起膀胱损伤。它在患有长期疝气的个体中特别常见，应在手术期间进行预期。高危患者包括肥胖者,年长的男人,有泌尿系统症状需要CT扫描进一步评估的人，超声，或膀胱造影以防止医源性损伤和并发症。治疗包括减少或切除疝膀胱，然后进行疝修补。
