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Case Reports
. 2020 Aug 12;12(8):e9681.
doi: 10.7759/cureus.9681.

Incarcerated Bladder Diverticulum in a Femoral Hernia Presenting as Recurrent Hematuria

Saptarshi Biswas  1 , Emma M Morel  2 , Kirklen Petersen  3 , Austin McCrae  4
Affiliations
Case Reports

Incarcerated Bladder Diverticulum in a Femoral Hernia Presenting as Recurrent Hematuria

Saptarshi Biswas et al. Cureus. .

Abstract

Groin hernias are extremely common surgical pathologies and usually contain intra-abdominal viscera surrounded by peritoneum. Femoral hernias are the least common types of hernia and are predominately found in females. In rare cases, an extraperitoneal organ may be pulled into the hernia sac to become part of the content. Urinary bladder diverticulum should be considered as a possible femoral hernia content in elderly patients presenting with recurrent symptoms of lower urinary tract infections and hematuria. A high index of suspicion followed by appropriate imaging assists in making a correct preoperative diagnosis and improves postoperative outcomes. We present an uncommon case of herniation of a urinary bladder diverticulum into a femoral hernia presenting with recurrent hematuria in an elderly female.

Keywords: bladder diverticulum; femoral hernia; hematuria; incarcerated bladder.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT abdomen/pelvis coronal view: the arrow indicating herniated bladder
Figure 2
Figure 2. CT abdomen/pelvis sagittal view: the arrow indicating herniated bladder diverticulum
Figure 3
Figure 3. CT abdomen/pelvis axial view: the arrow indicating herniated bladder diverticulum
See this image and copyright information in PMC

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