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01.04.2014 | Original Article | Ausgabe 2/2014

European Surgery 2/2014

Inguinoscrotal herniation of bladder: case series and literature review

Zeitschrift:
European Surgery > Ausgabe 2/2014
Autoren:
MD T.-H. Lee, C.-N. Huang, S.-P. Huang, T.-Y. Huang, M.-Y. Jang, J.-T. Shen, W.-J. Wu, MD, PhD Y.-S. Juan

Summary

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.

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