Bladder incarceration with perforation in scrotal herniation: A case report

Thomas Kunit, Stephen Hruby, Tobias Schaetz, Gunter Janetschek, Lukas Lusuardi

Abstract


Inguinoscrotal hernias containing urinary bladder are very rare. There are only a few cases described with perforation in the scrotum. This illness is a severe and should be kept in mind with any patient complaining of a scrotal hernia. We report a case of bladder perforation caused by inguinoscrotal hernia with incarceration and severe sepsis in a 93-year-old male. A computed tomography scan with excretory phase was used to diagnose the disease. A laparotomy with partial bladder resection and herniotomy were performed. Our patient recovered well from surgery. Ten days after surgery, a cystography was performed showing no extravasation.


Keywords


bladder; hernia; perforation; scrotal

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DOI: http://dx.doi.org/10.5489/cuaj.1738