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Irreducible Inguinal Bladder Herniation Containing an Intravesical Calculus: A Rare Dual Pathology

Year: 2026

Type: article

Abstract: Inguinal bladder herniation is a rare clinical condition, and its association with a vesical calculus within the herniated bladder segment is exceptionally uncommon. We report the case of a 68-year-old man who presented with bilateral inguinal herniae accompanied by hematuria. He was evaluated with urine culture and sensitivity testing, blood investigations, and computed tomography (CT). CT imaging demonstrated a left inguinal hernia containing a portion of the urinary bladder with an associated 2.5 × 1.8 cm vesical calculus. In collaboration with the urology team, the patient underwent bilateral open mesh hernioplasty with vesicolitholapaxy using a holmium:YAG (Ho:YAG) laser. Successful reduction of the herniated bladder segment and complete removal of the calculus were achieved. Early preoperative identification of bladder herniation with an associated stone through imaging played a critical role in surgical planning and helped avoid inadvertent bladder injury during surgery. This case underscores the importance of considering bladder herniation in elderly male patients presenting with inguinal herniae and urinary symptoms, as timely diagnosis and coordinated surgical-urological management can optimize outcomes and reduce perioperative risk.

Source: Cureus

DOI: 10.7759/cureus.101894

Authors: Rahul A Mishra, Dinesh Ramaswamy, Shanmugasundaram Rajaian

Institutions: SRM Institute of Science and Technology, Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7124971571