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Injury to the urinary bladder is more likely to occur during herniorrhaphy for misdiagnosed sliding hernia. Increasing abdominal pain, abdominal swelling, hematuria and decreased urinary output soon after hernia repair need further review. Emergency resuscitation, prompt exploration and repair lead to quick recovery in this patient. This is an audit case report illustrating the need to consider sliding of the urinary bladder in huge inguinal hernia and to keep it out of harm's way during repair. It also emphasizes the need to recognize any iatrogenic injury intra-operatively, and to institute treatment in the same operative session or to take the option of early referral.

A case report of unrecognized iatrogenic bladder injury during repair of misdiagnosed sliding inguinal hernia: Tips and Tricks in the management.