Urinary bladder herniation in the differential diagnosis of inguinal hernia

Abstract Background: Yolk sac tumor is a germ cell neoplasm that arises predominantly in the gonads, but can also derive from somatic neoplasms in extragonadal locations. These cases have been denominated recently as “somatically derived Yolk sac tumors”, and have been documented in several locations, although reports from the urinary tract are scarce. To our knowledge, this is the first report of a Yolk sac tumor derived from urothelial carcinoma. Case presentation: We present a unique case of a 76-year-old man with a recurrent urinary bladder tumor, initially interpreted as a high grade urothelial carcinoma with glandular differentiation. In the recurrent tumor, diverse histological patterns were identified, including glandular, hepatoid and sarcomatoid. This tumor showed positivity for AFP, GLP3 and SALL4, and negativity for CK7 and EMA. Fluorescent in situ hybridization study showed a polysomic pattern of chromosome 12. All these findings led to the final diagnosis of a Yolk sac tumor derived from urothelial carcinoma. Conclusions: Somatically derived Yolk Sac tumors should be considered in the differential diagnosis of a high grade urothelial carcinoma, particularly when glandular and other unusual patterns are observed. Key words: Yolk sac tumor, somatically derived, urothelial carcinoma, urinary bladder, case report.

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P145 DERMOID CYST MASQUERADING AS INCARCERATED INGUINAL HERNIA

British Journal of Surgery ◽

10.1093/bjs/znab395.137 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Moh'd Shafiq Ramadan ◽

Huda Al-Zuhd ◽

Anas Atari

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Inguinal Hernia ◽

Dermoid Cyst ◽

Epidermoid Cyst ◽

Mass Content ◽

Incarcerated Inguinal Hernia ◽

Surgical Ward ◽

Elective Repair ◽

The Common

Abstract Aim “For pre operative optimization and educational purposes, rare possibilities should be included in the differential diagnosis”” Material and Methods “CASE REPORT. Inguinal hernia is one of the common operations done by surgeons, often diagnosed clinically. Here we present a case of 29 year old male patient presented with inguinal swelling for 3 years. He was admitted for the surgical ward as a case of incarcerated inguinal hernia for elective repair under GA. Intra op the mass was not consistent with inguinal hernia, two other possibilities were a concern that can cause the swelling; 1) testes, which was excluded by examining the scrotum, 2) Dermoid/Epidermoid cyst which was checked by the mass content of hair and pasty fluid” Results “DERMOID CYST” Conclusions “Most surgeons depend on clinical picture in diagnosing inguinal hernia, thus even other rare possibilities should be included in the differential diagnosis. Unusual presentations of inguinal hernia should be having radiological evaluated.”

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A Rare Case of Inguinal Hernia with Complete Bladder Herniation

Case Reports in Surgery ◽

10.1155/2017/4658169 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Ayaaz Habib

Keyword(s):

Renal Function ◽

Inguinal Hernia ◽

Complete Resolution ◽

Rare Case ◽

Obstructive Uropathy ◽

Postoperative Recovery ◽

Diagnosis And Management ◽

Inguinoscrotal Hernia ◽

Inguinal Hernias ◽

Bladder Herniation

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.

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An atypical post colonoscopy complication: bladder herniation

10.36879/jcmi.18.000104 ◽

2018 ◽

pp. 1-3

Keyword(s):

Emergency Department ◽

Inguinal Hernia ◽

Urinary Tract ◽

Inguinal Canal ◽

Distal Portion ◽

Abdominal Pressure ◽

Therapeutic Procedure ◽

Bladder Herniation ◽

Tomography Scan ◽

Physical Constitution

Colonoscopy is both a diagnostic and therapeutic procedure that allows examination and treatment of the rectum, colon, and the distal portion of the ileum. The risk of serious complications following colonoscopy is usually low. Hernial complications are rare after colonoscopy, and are probably promoted by an increased abdominal pressure and patient’s physical constitution. Inguinal hernia usually includes intestine and not parts of the urinary tract. In literature there no studies reporting cases of bladder herniation after a colonoscopy procedure. We presented a case of an 84-years-old man admitted to our emergency department reporting scrotum edema after a colonoscopy procedure; the abdominal computerized tomography scan showed a bladder herniation through the inguinal canal into the scrotum. The hernia was not manually reducible and required surgical correction.

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Yolk sac tumor differentiation in urothelial carcinoma of the urinary bladder: a case report and differential diagnosis

Diagnostic Pathology ◽

10.1186/s13000-020-00983-3 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Nadia Espejo-Herrera ◽

Enric Condom-Mundó

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Urinary Bladder ◽

Urothelial Carcinoma ◽

Yolk Sac ◽

Yolk Sac Tumor ◽

Tumor Differentiation

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Varices of the round ligament mimicking an inguinal hernia – an important differential diagnosis during pregnancy

Annals of The Royal College of Surgeons of England ◽

10.1308/147870810x12822015504482 ◽

2010 ◽

Vol 92 (7) ◽

pp. e10-e11 ◽

Cited By ~ 6

Author(s):

BM Dent ◽

A Al Samaraee ◽

PE Coyne ◽

C Nice ◽

M Katory

Keyword(s):

Differential Diagnosis ◽

Risk Factor ◽

Inguinal Hernia ◽

Pregnant Women ◽

Clinical Examination ◽

Abdominal Pressure ◽

Emergency Repair ◽

Important Differential Diagnosis ◽

Ultrasound Evaluation ◽

In Pregnancy

Pregnancy is a recognised risk factor for the development of inguinal hernias due to an increase in intra-abdominal pressure. Whilst often managed conservatively until after the pregnancy, if the hernia presents acutely as a painful or tender groin lump, urgent or emergency repair may be required. Many clinicians rely heavily on clinical examination alone in order to diagnose the presence of such a hernia. In pregnancy, however, in order to prevent unnecessary surgery, the use of ultrasound has a more important role to play in reaching this diagnosis. We report a cautionary case that highlights the need for ultrasound evaluation of all painful groin lumps in pregnant women prior to considering surgery.

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Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

Case Reports in Medicine ◽

10.1155/2012/216345 ◽

2012 ◽

Vol 2012 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Muazez Cevik

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Broad Spectrum ◽

Initial Diagnosis ◽

Silk Suture ◽

Review Of The Literature ◽

Broad Spectrum Antibiotics

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.

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