Citation: I. Daha, N. Yassine, I. Zouita, D. Basraoui, H. Jalal. Inguinal Bladder Hernia: About A Case Report. Sch J
Med Case Rep, 2022 Oct 10(10): 1040-1042.
1040
Scholars Journal of Medical Case Reports
Abbreviated Key Title: Sch J Med Case Rep
ISSN 2347-9507 (Print) | ISSN 2347-6559 (Online)
Journal homepage: https://saspublishers.com
Inguinal Bladder Hernia: About A Case Report
I. Daha
1*
, N. Yassine
1
, I. Zouita
1
, D. Basraoui
1
, H. Jalal
1
1
Department of Radiology, Mother-Child Hospital, CHU Mohammed VI of Marrakech, Faculty of Medicine and Pharmacy,
Marrakech Cadi Ayad University, Morocco
DOI: 10.36347/sjmcr.2022.v10i10.012 | Received: 08.09.2022 | Accepted: 13.10.2022 | Published: 16.10.2022
*Corresponding author: I. Daha
Department of Radiology, Mother-Child Hospital, CHU Mohammed VI of Marrakech, Faculty of Medicine and Pharmacy, Marrakech
Cadi Ayad University, Morocco
Abstract Case Report
Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdominal or pelvic contents
through the inguinal orifice. It is rare for the contents of the hernial sac to be bladder. Its discovery is most often
fortuitous since no clinical sign generally allows it to be detected. The treatment is surgical which consists of
reintegrating the bladder intra-pelvic. We report the case of a patient, in whom the diagnosis of an inguinal bladder
hernia was made fortuitously after realizing an uro-scanner within the framework of the etiological assessment of a
ureterohydronephrosis.
Keywords: Inguinal hernia, bladder, digestive surgery.
Copyright © 2022 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International
License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original
author and source are credited.
INTRODUCTION
Inguinal hernia is a frequent pathology in
surgery. It consists of the passage of abdominal or
pelvic contents through the inguinal orifice. It most
often results from an increase in intra-abdominal
pressure or a weakness of the abdominal wall, prostatic
hypertrophy is a common cause in the elderly.
It is rare for the contents of the hernial sac to
be bladder. Its discovery is most often fortuitous since
no clinical sign generally allows it to be detected. The
treatment is surgical which consists of reintegrating the
bladder intra-pelvic.
We report the case of a patient, in whom the
diagnosis of an inguinal hernia of the bladder was made
fortuitously before the realization of a uro-scanner
within the framework of the etiological assessment of a
ureterohydronephrosis.
OBSERVATION
This is a 71-year-old patient, with no particular
pathological history, who presented with chronic right
low back pain for 4 months, associated with a painless
right inguinal swelling, expansive on coughing and
reducible at the level of the right inguinal fold.
The biological assessment (blood count and
ionogram revealed no abnormality with a PSA of 3.5
ng/ml and a sterile ECBU.
The abdomino-pelvic ultrasound revealed a
right inguinal hernia without specifying the affected
organ. She objectified a right ureterohydronephrosis
and an enlarged prostate estimated at 48 cm3.
Diagnosis of inguinal bladder hernia was done
on the uroscanner (Figure 1), which objectified a right
partial inguinal incarceration of the bladder associated
with a major right ureterohydronephrosis upstream of a
calculation of the pelvic ureter.
The release of the bladder was performed by
laparoscopy with repair of the hernia after reintegration
of the bladder pocket, associated with a rise of the JJ
catheter on the right. Treatment with alpha-blockers has
been prescribed for benign prostatic hyperplasia. The
post operator course was simple.
Radiology