Scrotal cystocele: a surgical pitfall
| Autor: | L.D. George Angus, Supriya Cardoza |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
endocrine system medicine.medical_specialty endocrine system diseases Scrotal Hernia Urinary system Hernia Inguinal urologic and male genital diseases Scrotum Humans Medicine Aged 80 and over urogenital system business.industry Urinary retention Urinary Bladder Diseases General Medicine medicine.disease Inguinal canal Surgery Diverticulum medicine.anatomical_structure Heart failure Abdomen medicine.symptom Tomography X-Ray Computed business Urinary bladder disease Cystocele |
| Zdroj: | British Journal of Hospital Medicine. 69:594-594 |
| ISSN: | 1759-7390 1750-8460 |
| DOI: | 10.12968/hmed.2008.69.10.31324 |
| Popis: | A 91-year-old male nursing home patient with numerous medical problems was admitted to the medical service with rapid atrial fibrillation and congestive heart failure. A large scrotal hernia was noted and surgical consultation obtained. His past urological history was significant for chronic urinary retention secondary to benign prostatic hypertrophy, intermittent haematuria and recurring urinary tract infections. Given his overall poor general health, his outlet obstruction had been managed with an indwelling Foley catheter. Examination of the scrotum revealed a large, oedematous left hemiscrotum that could not be transilluminated. Scrotal content was not reducible and no bowel sounds were audible. A computed tomography scan of the abdomen revealed herniation of bladder into the left scrotal sac (Figure 1). Owing to persistent swelling and drainage from the scrotum, retrograde cystography was performed and demonstrated massive herniation of the bladder through the inguinal canal and into the scrotum (Figure 2). Given his overall general condition, a decision was made to manage the herniation non-operatively. |
| Databáze: | OpenAIRE |
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