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Chirurgie 3. Mai 2014

Inguinoscrotal herniation of bladder: case series and literature review

Background: Bladder hernias are relatively rare condition while only accounts for 1–4 % of inguinal hernias. It is not the surgery but the diagnosis that remain the major challenges of clinical practice.

Methods: Herein, we report five cases of bladder hernias with different clinical presentation, and review of current literature.

Results: The definite diagnosis relies on clinical suspicion and multiple urographic imaging. Sonography is a preferred image modality for its inexpensive and noninvasive nature. Abdominal computed tomography (CT) could depict the anatomic details of the hernia lesion and its relationship with the surrounding pelvic organs. Although bladder herniation is not a malignant condition, it can be fatal due to iatrogenic surgical complications.

Conclusions: In addition to current indications, refractory urinary tract infection should be viewed as another indication of partial cystectomy. Besides, repeated urography should be considered as the tool to ensure the result of surgery.

T.-H. Lee, C.-N. Huang, S.-P. Huang, T.-Y. Huang, M.-Y. Jang, J.-T. Shen, W.-J. Wu, Y.-S. Juan, European Surgery 2/2014

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