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Case Reports
. 2021 Jan;14(1):128-131.
doi: 10.1111/ases.12818. Epub 2020 Jun 4.

A case of indirect inguinal bladder hernia treated by laparoscopic hernia repair

Atsushi Kohga  1 , Takuya Okumura  1 , Kimihiro Yamashita  1 , Jun Isogaki  1 , Kenji Suzuki  1 , Akihiro Kawabe  1
Affiliations
Case Reports

A case of indirect inguinal bladder hernia treated by laparoscopic hernia repair

Atsushi Kohga et al. Asian J Endosc Surg. 2021 Jan.

Abstract

Inguinal bladder hernia is a rare clinical condition, and only a small number of reported cases have been treated by laparoscopic surgery. In the present case, the patient was a 78-year-old man who presented to our emergency department with a chief complaint of right inguinal bulge and pain. CT imaging revealed an incarcerated right inguinal hernia containing the small intestine and a portion of the urinary bladder. We performed manual reduction of the incarcerated intestine, and he was admitted to the surgical ward for follow-up. On the 19th day after discharge, recurrence of incarceration developed, and he was readmitted after manual reduction. A laparoscopic transabdominal preperitoneal repair was performed. After careful reduction of the protruding bladder from the hernial orifice, we repaired the right inguinal hernia with a mesh prosthesis. We experienced a rare case of right indirect inguinal bladder hernia that was treated successfully with laparoscopic repair.

Keywords: bladder injury; inguinal bladder hernia; laparoscopic transabdominal preperitoneal approach repair.

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