Open Access
Accidental Bladder Injury during Elective Repair of a Strangulated Inguinal Hernia: A Preventable Complication with High Morbidity
Author(s) -
Soumeya Ettahiri,
Ezzaki Houda,
Tarik Souiki,
Ibn Majdoub Karim,
Imane Toughraï,
Mazaz Khalid
Publication year - 2022
Publication title -
sas journal of surgery
Language(s) - English
Resource type - Journals
ISSN - 2454-5104
DOI - 10.36347/sasjs.2022.v08i01.009
Subject(s) - medicine , bladder injury , cystography , surgery , accidental , asymptomatic , inguinal hernia , complication , radiological weapon , concomitant , urinary retention , ureter , urinary bladder , hernia , urinary system , general surgery , radiology , physics , acoustics
Urinary bladder injury is usually rare and asymptomatic, and can occur during herniorrhaphy for misdiagnosed sliding hernia. It’s necessary to recognize a iatrogenic injury intra operatively, and institute treatment in the same operative session, Preoperative diagnosis can prevent possible to the bladder and ureter surgery and lead to quick recovery. The radiological examination is needed before any surgery, especially when the patient has concomitant urinary symptoms. If bladder hernia is suspected, we should imperatively perform preoperative radiology including ultrasound cystography, CT scan or MRI. Keeping a bladder catheter in situ can alert the surgeon in the event of bladder surgery.