PDF(Pubmed)
Abstract：
Inguinal hernias involving the bladder are exceedingly rare and pose a diagnostic challenge. Identifying bladder involvement within an inguinal hernia is imperative to avoid iatrogenic bladder injuries and subsequent complications. Here we discuss a case of inguinal bladder herniation and bladder visualization using methylene blue dye intraoperatively. We present a case of a 45-year-old male who presented with a six-hour history of dysuria and a painful non-reducible right-sided groin mass that had previously been reducible for 17 years. Computed tomography demonstrated an irreducible indirect inguinal hernia-containing bladder. Open Lichtenstein repair was performed, and intraoperative methylene blue-dyed saline successfully identified the herniated bladder, preventing iatrogenic bladder injury. This case report demonstrates the importance of preoperative imaging and intraoperative visualization for the prevention of complications in a rare occurrence of a strangulated indirect inguinal hernia-containing bladder.
摘要：
累及膀胱的腹股沟疝极为罕见，并构成诊断挑战。确定腹股沟疝中的膀胱受累对于避免医源性膀胱损伤和随后的并发症至关重要。在这里，我们讨论了术中使用亚甲蓝染料进行腹股沟膀胱疝和膀胱显像的情况。我们介绍了一例45岁的男性，他有6小时的排尿困难史和痛苦的不可减少的右侧腹股沟肿块，以前可以减少17年。计算机断层扫描显示出不可复位的含腹股沟斜疝的膀胱。进行了Lichtenstein开放式修复，术中亚甲蓝染色盐水成功识别出膀胱疝出,预防医源性膀胱损伤。此病例报告证明了术前成像和术中可视化对于预防罕见的绞窄性腹股沟斜疝膀胱并发症的重要性。
