A Case of Inguinal Bladder Hernia with Hydronephrosis

Abstract

The patient was a 77-year-old man. He presented to the emergency department of another hospital with the chief complaints of dysuria and right lower back pain. He was diagnosed with right inguinal hernia and was referred to our department for treatment. Computed tomography (CT) showed a right inguinal hernia, bladder prolapsed to the right scrotum, and hydronephrosis caused by right ureteral slippage and traction. The ileum also prolapsed into the hernia sac. In this case, we performed transabdominal preperitoneal repair (TAPP) after placing a ureteral stent before the start of surgery. After six months, the patient did not show any hernia recurrence or urinary disorders. Inguinal bladder hernias have been reported to occur in 1-4% of adult inguinal hernias. Inguinal bladder hernias associated with ureteral slippage and hydronephrosis are rare. There have been no reports of TAPP surgery for an inguinal bladder hernia with ureteral slippage ; therefore, we report this case with a review of the available literature.