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Careful follow-up of the patients is necessary in order to detect any signs of this condition in

time

52. Karanikas M, Kofina K, Foutzitzi S, Deftereos S, Effraemidou E, Lyratzopoulos N, Polychronidis
A. Urinary bladder-containing incarcerated inguinoscrotal hernia: a case report. J Surg Case

Rep. 2020 Nov 25;2020(11):rjaa092. doi: 10.1093/jscr/rjaa092. eCollection 2020 Nov.
PMID: 33269067 [PubMed]

Abstract: Inguinoscrotal hernia containing the urinary bladder is a rare entity found in 1-4% of

inguinal hernias, while patients rarely present symptoms of urinary dysfunction. We present
the case of a 79-year-old Caucasian male with acute renal dysfunction and incarcerated
inguinoscrotal hernia containing the entire urinary bladder. The patient presented in the

surgical emergency department due to an incarcerated right inguinoscrotal hernia and

deteriorated renal function. Preoperatively, ultrasound imaging was performed, which showed
the presence of the whole bladder in the hernia sac. The bladder was repositioned to its
anatomic position and hernia was repaired through a modified Lichtenstein technique. In

patients with inguinoscrotal hernia and acute urinary tract symptoms, surgeons should be
aware of the possibility of inguinal bladder hernia. Preoperative imaging can help in preventing

intraoperative bladder damage.

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