
Bladder incarceration with perforation in scrotal herniation: A case report
Author(s) -
Thomas Kunit,
Stephen Hruby,
Tobias Schaetz,
Günter Janetschek,
Lukas Lusuardi
Publication year - 2014
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.1738
Subject(s) - medicine , surgery , scrotum , laparotomy , cystography , perforation , hernia , urinary system , general surgery , materials science , punching , metallurgy , endocrinology
Inguinoscrotal hernias containing urinary bladder are very rare. There are only a few cases described with perforation in the scrotum. This illness is a severe and should be kept in mind with any patient complaining of a scrotal hernia. We report a case of bladder perforation caused by inguinoscrotal hernia with incarceration and severe sepsis in a 93-year-old male. A computed tomography scan with excretory phase was used to diagnose the disease. A laparotomy with partial bladder resection and herniotomy were performed. Our patient recovered well from surgery. Ten days after surgery, a cystography was performed showing no extravasation.