Ultrasound imaging for bladder hernia: a rare cause of female inguinal hernia

A 72-year-old man presented with urinary retention, weight loss, haematuria and severe acute kidney injury. He had never before been admitted to hospital and his past medical history included only an inguinal hernia. On examination, he appeared uraemic and had a right-sided painful hernia. A three-way catheter was inserted, bladder washouts performed and irrigation started. An ultrasound showed severe bilateral hydronephrosis and a ‘thickened bladder’ and this was thought to be obstructive uropathy secondary to bladder cancer. Twenty-four hours later his hernia doubled in diameter, became incarcerated and a CT of the abdomen and pelvis showed an inguinal hernia of both bladder and bowel, with the catheter tip inside the bladder hernia. He was taken to theatres and an open mesh repair was performed with a rigid cystoscopy to assist in locating and reducing the bladder. He required intensive care and dialysis postoperatively and remains on regular dialysis following discharge.

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Gray-Scale and Color Doppler Ultrasound Imaging Findings of an Ovarian Inguinal Hernia and Torsion of the Herniated Ovary

Pediatric Emergency Care ◽

10.1097/pec.0b013e318285465c ◽

2013 ◽

Vol 29 (3) ◽

pp. 364-365 ◽

Cited By ~ 4

Author(s):

Ramazan Aydin ◽

Ahmet Veysel Polat ◽

Ilkay Ozaydin ◽

Gulten Aydin

Keyword(s):

Inguinal Hernia ◽

Doppler Ultrasound ◽

Ultrasound Imaging ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Imaging Findings ◽

Gray Scale ◽

Doppler Ultrasound Imaging

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“Locus minoris resistentiae” and connective tissue weakness in older women: a case report and literature review on pelvic organ prolapse with inguinal bladder hernia

BMC Women s Health ◽

10.1186/s12905-021-01554-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

A. Esber ◽

A. Kopera ◽

M. P. Radosa ◽

I. B. Runnebaum ◽

H. K. Mothes ◽

...

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Pelvic Organ Prolapse ◽

Connective Tissue ◽

Genital Prolapse ◽

Pelvic Organ ◽

Simultaneous Occurrence ◽

Patient Counselling ◽

Hernia Sac ◽

Bladder Hernia

Abstract Background Conditions such as genital prolapse and hernia are known to be related to connective tissue dysfunction. In this report on cases of the rare simultaneous finding of large genital prolapse and post-prolapse repair female inguinal bladder hernia, we aim to contribute to the discussion of a possible clinical definition of connective tissue weakness, for its clinical assessment and preoperative patient counselling. Case presentation Three cases of medial third-grade (MIII, Aachen classification) inguinal bladder hernia developing or enlarging after successful stage-IV pelvic organ prolapse (POP) repair at a university pelvic floor centre are presented. All patients were aged ≥ 80 years with long-standing postmenopausal status. One patient was followed for 5 years and two patients were followed for 6 months. In all patients, ultrasound revealed that the hernia sac contained the urinary bladder, which had herniated through the inguinal hernia orifice. A literature search revealed only one case report of direct female inguinal bladder hernia and few investigations of the simultaneous occurrence of POP and hernia in general. Conclusion The simultaneous occurrence of inguinal hernia and female POP can lead to bladder herniation following prolapse surgery in the sense of a “locus minoris resistentiae”. Clinical examination for simultaneous signs of connective tissue weakness and counselling prior to pelvic reconstructive surgery could help to increase patients’ compliance with further surgical treatment for hernia.

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Chronic Dialysis Dependent Renal Failure Resulting from a Massive Bladder Containing Inguinal Hernia

Case Reports in Radiology ◽

10.1155/2017/2368237 ◽

2017 ◽

Vol 2017 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Michael M. Herskowitz ◽

Jamel Reid ◽

Robert F. Leonardo

Keyword(s):

Renal Failure ◽

Inguinal Hernia ◽

Chronic Renal Failure ◽

Hernia Repair ◽

Urinary Diversion ◽

Obstructive Uropathy ◽

Chronic Dialysis ◽

Bladder Hernia

Bladder involvement in inguinal hernia is relatively rare, 1–4%, although the incidence is increased to 10% with advancing age or obesity. There are several previously reported cases presenting with obstructive uropathy and renal failure, but all reversed with urinary diversion and hernia repair. We believe this to be the first reported case of bladder hernia leading to dialysis dependent chronic renal failure.

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Inguinal bladder hernia with lipomatosis of the bladder wall: A potential clinical pitfall for cancer

Urologia Journal ◽

10.1177/0391560319834494 ◽

2019 ◽

Vol 86 (1) ◽

pp. 35-38 ◽

Cited By ~ 2

Author(s):

Alessia Cimadamore ◽

Erika Palagonia ◽

Paola Piccinni ◽

Marco Misericordia ◽

Andrea Benedetto Galosi ◽

...

Keyword(s):

Computed Tomography ◽

Adipose Tissue ◽

Inguinal Hernia ◽

Urinary Bladder ◽

Bladder Wall ◽

Muscularis Propria ◽

Computed Tomography Scan ◽

Bladder Hernia ◽

Tomography Scan ◽

Normal Urothelium

A 70-year-old man was referred to the Urology Service of our University Hospital for an irregular thickening of the left anterior–lateral urinary bladder wall found in a computed tomography scan following gross haematuria. In particular, the computed tomography scan showed irregularity of the mucosal aspect and an irregular thickening of the bladder wall in close proximity of an inguinal hernia. The computed tomography exam also showed an unusual little fatty seizure in the parietal planes. A magnetic resonance imaging confirmed the thickening in the same area as the hernia with a mainly extraluminal presentation and extension in the perivesical adipose tissue. Cystoscopy did not show alteration of the mucosal surface. Urine cytology showed normal urothelium cells. At the time of the left inguinal hernia repair, the bladder was isolated from the inguinal hernia fat tissue and then opened with median cystotomy. Biopsy of the anterior–lateral bladder wall showed normal urothelium and an abundant component of mature lobules of adipose tissue in the sub-epithelial connective tissue extending among the muscle bundles of muscularis propria, compatible with a diagnosis of lipomatosis, a very rare lesion in the urinary bladder.

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Inguinal Herniation of Urinary Bladder

Journal of Mahatma Gandhi University of Medical Sciences and Technology ◽

10.5005/jp-journals-10057-0016 ◽

2016 ◽

Vol 1 (2) ◽

pp. 66-67

Author(s):

Siddharth P Dubhashi ◽

Ratnesh Jenaw

Keyword(s):

Urinary Tract Infection ◽

Inguinal Hernia ◽

Urinary Bladder ◽

Bladder Wall ◽

Rare Condition ◽

Elderly Male ◽

Direct Inguinal Hernia ◽

Bladder Hernia ◽

High Index Of Suspicion ◽

Inguinal Herniation

ABSTRACT Urinary bladder hernia is evident into 1 to 3% of inguinal hernias. About 7% of bladder hernias are diagnosed preoperatively. The herniation of the bladder occurs in an acquired direct inguinal hernia with the bladder setting into the hernia along with the peritoneal sheath. This is a report of an elderly male with a para-peritoneal vesical hernia. This is a rare condition requiring a high index of suspicion to prevent complications like urinary tract infection, obstruction and incarceration of bladder wall. How to cite this article Dubhashi SP, Jenaw R. Inguinal Herniation of Urinary Bladder. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):66-67.

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