Multiple Secondary Vesical Calculi in a Large Incarcerated Inguinoscrotal Bladder Hernia.

Q4 Medicine Journal of Endourology Case Reports Pub Date : 2020-12-29 eCollection Date: 2020-01-01 DOI:10.1089/cren.2020.0143
Pankaj N Maheshwari, Nandan Arulvanan, Aysha S Kalimkhan, Thavarool Puthiyedath Yadhukrishnan
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Abstract

Background: Inguinal herniation of the urinary bladder is rare. Although in most patients it is an incidental finding during hernia repair, some patients present with complications related to herniated bladder. Case Presentation: A 65-year-old man presented with recurrent lower urinary tract infections and multiple episodes of lithuria. He was found to have an incarcerated right inguinal hernia with a large part of the urinary bladder inside the hernial sac. He did not have any features of bladder outlet obstruction. The herniated bladder had multiple small secondary vesical calculi that had probably formed in this hernial sac. He was managed by open surgical mesh hernioplasty followed by cystoscopic stone evacuation. Conclusion: Incarcerated bladder herniation, complicated by intravesical stone formation, is a rare clinical condition. Proper preoperative imaging with CT scan best confirms the diagnosis. Appropriate treatment includes reduction of the bladder, hernia repair, and endoscopic stone management.

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腹股沟-阴囊大嵌顿性膀胱疝并发多发继发性膀胱结石。
背景:腹股沟疝的膀胱是罕见的。虽然在大多数患者中,这是在疝修补过程中偶然发现的,但一些患者会出现与膀胱疝有关的并发症。病例介绍:一名65岁男性,复发性下尿路感染和多次发作的尿漏。他被发现有嵌顿性右腹股沟疝,大部分膀胱在疝囊内。他没有任何膀胱出口梗阻的特征。疝出的膀胱有多个继发性小膀胱结石,可能形成于疝囊。他接受了开放性手术网状疝成形术,随后进行了膀胱镜下结石排出术。结论:嵌顿性膀胱疝并发膀胱内结石是一种罕见的临床疾病。术前适当的CT扫描最能证实诊断。适当的治疗包括膀胱复位、疝修补和内窥镜结石处理。
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