Inguinal bladder hernia masking bowel ischemia

Inguinal bladder hernia masking bowel ischemia
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DOI:
10.1016/j.urology.2003.09.013
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发表时间:
2004-01-01
期刊:
影响因子:
2.1
通讯作者:
Underwood, W
Underwood, W
中科院分区:
医学4区
文献类型:
--
作者:
Fisher, PC;Hollenbeck, BK;Underwood, W

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膀胱通过腹股沟管移位到骨盆外是一种罕见的腹股沟疝气表现,很少引起尿路梗阻。然而,膀胱疝可能会变得令人烦恼、疼痛,并具有潜在的危险。我们报告一位患有慢性膀胱疝的56岁男性,在一次机动车事故后,他变得无法从右半阴囊的位置排空他的膀胱。在疝修补术中,发现了膀胱和缺血的肠道,要求进行重要的小肠切除术。这一案例提出了有趣的考虑和潜在的陷阱时,评估患者的膀胱疝气。(C)2004年爱思唯尔公司。
Displacement of the bladder outside of the pelvis by way of the inguinal canal represents an infrequent presentation of an inguinal hernia that rarely causes urinary tract obstruction. However, bladder hernias can become bothersome, painful, and potentially dangerous. We report a 56-year-old man with a chronic bladder hernia who became acutely unable to empty his bladder from its position in the right hemiscrotum after a motor vehicle accident. At hernia repair, bladder and ischemic bowel were discovered, mandating significant small bowel resection. This case presents interesting considerations and potential pitfalls when evaluating a patient with a bladder hernia. (C) 2004 Elsevier Inc.