DOI: https://doi.org/10.36347/sjmcr.2024.v12i10.025

Pages: 1725-1727

Inguinal bladder hernias are rare, with bladder involvement seen in 1–4% of inguinal hernias. The majority of cases are diagnosed intraoperatively, with only 7% of bladder hernias identified prior to surgery. Diagnosis may be challenging as patients are often asymptomatic or have nonspecific symptoms. Surgical repair is currently the standard treatment, and careful surgical planning is necessary to avoid complications including bladder injury. We report the case of a 74-year-old man presented with a mild painless right inguinal swelling, associated with chronic diarrhea. Physical exam revealed an expansive hernia on coughing and reducible at the level of the right inguinal fold. Preoperative ultrasound has shown a right inguinal hernia with a dislocation of the urinary bladder descending into the right scrotum. Plain CT was ordered and demonstrated a right partial inguinal incarceration containing bladder and omental tissue with adjacent peritoneal effusion without ureterohydronephrosis upstream. The patient underwent open surgical reduction and hernia repair and made a quick postoperative recovery without complications.