Work

Beyond the ordinary: laparoscopic management of a rare inguinal hernia with bladder involvement

Year: 2025

Type: article

Abstract: Inguinal hernias are common in surgical practice, with a small percentage involving bladder herniation. These inguinoscrotal bladder hernias, though rare, present significant diagnostic and treatment challenges. This case report details the diagnosis, treatment, and postoperative management of a 63-year-old male with benign prostatic hyperplasia, presenting with an inguinal hernia involving the bladder. Diagnosis was confirmed with physical examination and computed tomography scans, showing bladder herniation into the inguinal canal. Surgery involved laparoscopic inguinal hernia repair using a transabdominal preperitoneal approach. The surgery was successful with no complications and the patient was discharged 48 hours later. A three-month follow-up showed no recurrence or urinary complications. This case emphasizes the importance of considering inguinoscrotal bladder hernias in patients with inguinal bulges and urinary symptoms. Early diagnosis, supported by imaging and awareness, followed by laparoscopic repair, is essential for favorable outcomes in these rare cases.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf284

Authors: Rubén Daniel Pérez López, Juan Sánchez Lora, Ángel Ávila Rosales, Emmanuel Garcia Romero, Luis Rubén Sosa Flores

Institution: Universidad Nacional Autónoma de México

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000