A Case of Laparoscopic Transabdominal Preperitoneal Repair of an Inguinoscrotal Bladder Hernia

Abstract

A 67-year-old man, who had undergone hernioplasty for bilateral inguinal hernias 20 years previously, was referred to our hospital for bilateral inguinal bulges and frequent urination. An abdominal computed tomography (CT) scan revealed bilateral soft-density masses in the groin, the right one of which contained part of the urinary bladder. The patient was diagnosed with bilateral recurrent inguinal hernias with a bladder hernia on the right side. A bilateral laparoscopic transabdominal preperitoneal (TAPP) hernia repair was performed. The patient had an uneventful postoperative course and was discharged on the first postoperative day. CT is considered an excellent diagnostic method for bladder hernia. A preoperative diagnosis is especially important to preventing intraoperative bladder injury. Here we report a case of laparoscopic TAPP repair for an inguinoscrotal bladder hernia and reference the relevant literature.