Laparoscopic Extraperitoneal Repair of Incarcerated Bladder Inguinal Hernia

Abstract

Introduction: Cases of inguinal bladder hernia are rare, with bladder involvement seen in 1–4% of inguinal hernias. Surgical repair is currently the standard treatment, and careful surgical planning is necessary to avoid complications including bladder injury. Case Presentation: A 62-year-old man presented to our Emergency Department with 15-day history of progressively worsening right lower quadrant pain, groin bulge and dysuria. Physical exam revealed an irreducible right inguinal hernia associated with urinary urgency on attempted reduction. Magnetic resonance imaging was ordered and demonstrated inguinal hernia with bladder protrusion into the right scrotum. The patient underwent Laparoscopic extraperitoneal reduction and hernia repair and made a quick postoperative recovery without complications. Discussion: Inguinal bladder hernia most often presents in older, obese males and clinicians should have a high index of suspicion when assessing patients with inguinal hernia. Preoperative diagnosis based on history, physical and radiologic imaging allow for careful surgical planning and prevention of severe complications including bladder injury and leakage. Conclusion: We present a case report of incarcerated inguinal bladder hernia in a middle-aged man that presented as right lower quadrant pain, groin pain and dysuria. The hernia was Laparoscopic extraperitoneal repair reduced and the defect repaired without complications.