Strangulated Inguinal Bladder Hernia: A Rare Case

Year 2025, Volume: 20 Issue: 3, 229 - 232

Oğuzhan Fatih Ay , Yurdakul Deniz Fırat

https://doi.org/10.17517/ksutfd.1429340

Abstract

Many organs can be associated with inguinal herniation, but bladder herniation is rare and occurs in only 1-4% of cases. A 48-year-old male patient attended the emergency department with a complaint of painful swelling in the left inguinal region that started during the day. In the patient whose vitals were stable, a decision was made for diagnostic laparoscopy due to significant tenderness in the left lower quadrant and suspicion of intestinal strangulation on Computed Tomography. On examination, the intestinal loops were intact, and a direct hernia was observed; then, open surgery was performed for hernia repair. Upon examination, it was observed that the blood supply to the herniated structure was impaired bladder tissue. The ischemic tissue wedge was resected and primary repaired. Mesh was utilized in the operation area. The patient, who was followed up with the postoperative urology clinic, was discharged on the 3rd postoperative day uneventfully. In patients presenting with strangulated recurrent herniation, it is crucial to consider the possibility of encountering retroperitoneal organs such as the bladder within the hernia sac. Additionally, in laparoscopic examination, if no intraperitoneal organ herniation is found, bladder herniation should be kept in mind.

Keywords

bladder hernia , bladder resection , strangulated hernia , inguinal , femoral

Strangüle Inguinal Mesane Hernisi: Nadir Bir Olgu

Abstract

Birçok organ inguinal herni ile ilişkili olabilir ancak mesane herniasyonu nadirdir ve vakaların sadece %1-4'ünde görülür. 48 yaşında erkek hasta gün içerisinde başlayan sol inguinal bölgede ağrılı şişlik şikayeti ile acil servise başvurdu. Vitalleri stabil olan hastada sol alt kadranda belirgin hassasiyet görülmesi ve Bilgisayarlı Tomografide intestinal strangülasyon şüphesi nedeniyle tanısal laparoskopi kararı alındı. İncelemede intestinal anslar salim olup direkt herni görüldü devamında herni onarımı için açık operasyona geçildiğinde herniye olan yapının kanlanmasının bozulmuş mesane dokusu olduğu izlendi. İskemik doku wedge rezeke edildi ve primer onarıldı. Operasyon bölgesine mesh serildi. Postoperatif üroloji kliniği ile birlikte takip edilen hasta postoperatif 3. gün sorunsuz taburcu edildi. Tekrarlayan stangüle herniasyon ile başvuran hastalarda, fıtık kesesi içinde mesane gibi retroperitoneal organlarla karşılaşma olasılığının dikkate alınması önemlidir. Ayrıca laparoskopik incelemede intraperitoneal organ herniasyonu bulunmazsa mesane herniasyonu akılda tutulmalıdır.

Keywords

mesane hernisi , mesane rezeksiyonu , strangüle herni , inguinal , femoral

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