Acute abdomen revealing giant inguinoscrotal bladder hernia

Abdelghani Ouraghi; Mohamed Irzi; Ibrahim Boukhannous; Wassim Mhammedi Alaoui; Ali Barki

doi:10.1016/j.eucr.2023.102343

Acute abdomen revealing giant inguinoscrotal bladder hernia

Urol Case Rep. 2023 Feb 8:47:102343. doi: 10.1016/j.eucr.2023.102343. eCollection 2023 Mar.

Authors

Abdelghani Ouraghi¹, Mohamed Irzi¹, Ibrahim Boukhannous¹, Wassim Mhammedi Alaoui¹, Ali Barki¹

Affiliation

¹ Department of Urology, Mohammed VI University Medical Center, Faculty of Medicine and Pharmacy, Mohammed the First University, Oujda, Morocco.

Abstract

Inguinal bladder hernia is a very rare clinical form, representing 1-4% of inguinal hernias. More than 90% of cases are discovered intraoperatively, with iatrogenic bladder injury occurring in 16% of cases. We report the case of a 67-year-old patient with a history of left inguinal hernia, who presented with a strangulated inguinoscrotal hernia with a tense bursa, painful spontaneously and irreducible to palpation. The abdominopelvic CT scan revealed a giant inguinoscrotal bladder hernia. The bladder resection for a necrosis portion was indicated. This case presents interesting considerations and potential pitfalls when evaluating a patient with an inguinal hernia.

Keywords: Bladder hernia; CT-Scan; Dysuria; Inguinoscrotal hernia.

Publication types

Case Reports