Inguinal bladder hernia masking bowel ischemia

Displacement of the bladder outside of the pelvis by way of the inguinal canal represents an infrequent presentation of an inguinal hernia that rarely causes urinary tract obstruction. However, bladder hernias can become bothersome, painful, and potentially dangerous. We report a 56-year-old man wit...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2004, Vol.63 (1), p.175-176
Main Authors: Fisher, Peter C., Hollenbeck, Brent K., Montgomery, Jeffrey S., Underwood, Willie
Format: Article
Language:English
Subjects:
Accidents, Traffic
Hernia, Inguinal - diagnosis
Hernia, Inguinal - etiology
Humans
Intestine, Small - blood supply
Intestine, Small - surgery
Ischemia - diagnosis
Ischemia - surgery
Male
Middle Aged
Necrosis
Obesity - complications
Scrotum
Short Bowel Syndrome - etiology
Superior Mesenteric Artery Syndrome - diagnosis
Superior Mesenteric Artery Syndrome - etiology
Superior Mesenteric Artery Syndrome - surgery
Urinary Bladder - pathology
Urinary Retention - etiology
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Summary:Displacement of the bladder outside of the pelvis by way of the inguinal canal represents an infrequent presentation of an inguinal hernia that rarely causes urinary tract obstruction. However, bladder hernias can become bothersome, painful, and potentially dangerous. We report a 56-year-old man with a chronic bladder hernia who became acutely unable to empty his bladder from its position in the right hemiscrotum after a motor vehicle accident. At hernia repair, bladder and ischemic bowel were discovered, mandating significant small bowel resection. This case presents interesting considerations and potential pitfalls when evaluating a patient with a bladder hernia.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2003.09.013