A foreign body in inguinal canal: A case report
| Autor: | Mohammad Bakri Hammami, Obaidah M. Mukhles Adi, Amer Hashim Al Ani |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Complications Retained item Urinary system medicine.medical_treatment Case study 030232 urology & nephrology urologic and male genital diseases Article 03 medical and health sciences 0302 clinical medicine medicine Hernia Urinary bladder business.industry medicine.disease Hernia repair Inguinal canal female genital diseases and pregnancy complications Surgery Foreign body Inguinal hernia Catheter surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.08.026 |
| Popis: | Highlights • Bladder hernias are rare incidents that are mostly discovered intraoperatively. • Diagnosis must be made preoperatively to avoid risk of injuring the bladder. • High index of suspicion for bladder hernia is vital in elderly males with urinary or intestinal symptoms. Introduction Inguinal bladder hernias are rare incidents accounting for 1–3% of all inguinal hernia. Most of those cases are discovered intraoperatively accounting for the high incidence of bladder injuries during the repair. Symptoms can be variable depending on the size of the herniated bladder. Presentation of case We present here a 70 years old obese male patient, with history of CVA & on regular Aspirin ingestion. He presented to the ER as a case of intestinal obstruction due to suspicion of strangulated inguinal hernia based on an unclear Ultrasound picture. He underwent an emergency exploration of the hernia where the balloon of a Foley’s catheter was found inside a diverticulum of the urinary bladder, herniated through an Ogilvie hernia. Discussion Ogilvie hernia is a rare incident that happens mostly in elderly males. The herniated part contains prevesical fat, bladder andor loops of intestines. Diagnosis must be made preoperatively through CT scan or Cystourethrogram. First line management involves surgical reduction of the bladder and hernia repair. Resection of the herniated part is generally limited to necrotic tissues. Conclusion Surgeons must have high index of suspicion for elderly obese males with inguinal hernias and urinary or intestinal obstruction symptoms. Careful preoperative planning must be made to avoid repair associated bladder injuries. |
| Databáze: | OpenAIRE |
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