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Can Urol Assoc J. 2014 May;8(5):E381-3. doi: 10.5489/cuaj.1738.

Bladder incarceration with perforation in scrotal herniation: A case report.

Canadian Urological Association journal = Journal de l'Association des urologues du Canada

Thomas Kunit, Stephan Hruby, Tobias Schaetz, Gunter Janetschek, Lukas Lusuardi

Affiliations

  1. Salzburg Medical School, Landeskrankenhaus Salzburg, Austria.

PMID: 24940472 PMCID: PMC4039609 DOI: 10.5489/cuaj.1738

Abstract

Inguinoscrotal hernias containing urinary bladder are very rare. There are only a few cases described with perforation in the scrotum. This illness is a severe and should be kept in mind with any patient complaining of a scrotal hernia. We report a case of bladder perforation caused by inguinoscrotal hernia with incarceration and severe sepsis in a 93-year-old male. A computed tomography scan with excretory phase was used to diagnose the disease. A laparotomy with partial bladder resection and herniotomy were performed. Our patient recovered well from surgery. Ten days after surgery, a cystography was performed showing no extravasation.

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