Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention
Herniation of the urinary bladder into the inguinal canal is an uncommon finding, observed in 0.5–4% of inguinal hernias (Curry (2000)). It is usually associated with other conditions that increase intra-abdominal pressure such as bladder neck obstruction due to prostatic hypertrophy. Consequently,...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/531021 |
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| author | Amit Frenkel Aviel Roy-Shapira Ilan Shelef Gadi Shaked Evgeni Brotfain Leonid Koyfman Abraham Borer Moti Klein |
| author_facet | Amit Frenkel Aviel Roy-Shapira Ilan Shelef Gadi Shaked Evgeni Brotfain Leonid Koyfman Abraham Borer Moti Klein |
| author_sort | Amit Frenkel |
| collection | DOAJ |
| description | Herniation of the urinary bladder into the inguinal canal is an uncommon finding, observed in 0.5–4% of inguinal hernias (Curry (2000)). It is usually associated with other conditions that increase intra-abdominal pressure such as bladder neck obstruction due to prostatic hypertrophy. Consequently, in men, it is usually associated with some degree of urinary retention. We present a 42-year-old man in whom herniation of the urinary bladder was the cause of urinary retention, and not vice versa. The patient was on tumor necrosis factor alpha antagonist (TNFA) (Etanercept) for severe Ankylosing spondylitis. Initially, the urinary retention was thought to be a side effect of the medication, but after the drug was discontinued, urinary retention persisted. CT and MRI demonstrated huge herniation of the urinary bladder into the inguinal canal. Immediately after the hernia was repaired, bladder function was restored. TNF treatment was restarted, and no further urinary symptoms were observed in the next two years of follow-up. In this case, the primary illness and its treatment were distracting barriers to early diagnosis and treatment. In younger patients with a large hernia who develop unexpected urinary retention, herniation of the urinary bladder should be highly considered in the differential diagnosis. |
| format | Article |
| id | doaj-art-450a0e2977d6493fb329ced6b458470c |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-450a0e2977d6493fb329ced6b458470c2025-08-20T03:36:44ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/531021531021Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary RetentionAmit Frenkel0Aviel Roy-Shapira1Ilan Shelef2Gadi Shaked3Evgeni Brotfain4Leonid Koyfman5Abraham Borer6Moti Klein7General Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelGeneral Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelDepartment of Radiology, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelDepartment of General Surgery, Trauma Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelGeneral Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelGeneral Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelInfection Control and Hospital Epidemiology Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelGeneral Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Beer-Sheva, IsraelHerniation of the urinary bladder into the inguinal canal is an uncommon finding, observed in 0.5–4% of inguinal hernias (Curry (2000)). It is usually associated with other conditions that increase intra-abdominal pressure such as bladder neck obstruction due to prostatic hypertrophy. Consequently, in men, it is usually associated with some degree of urinary retention. We present a 42-year-old man in whom herniation of the urinary bladder was the cause of urinary retention, and not vice versa. The patient was on tumor necrosis factor alpha antagonist (TNFA) (Etanercept) for severe Ankylosing spondylitis. Initially, the urinary retention was thought to be a side effect of the medication, but after the drug was discontinued, urinary retention persisted. CT and MRI demonstrated huge herniation of the urinary bladder into the inguinal canal. Immediately after the hernia was repaired, bladder function was restored. TNF treatment was restarted, and no further urinary symptoms were observed in the next two years of follow-up. In this case, the primary illness and its treatment were distracting barriers to early diagnosis and treatment. In younger patients with a large hernia who develop unexpected urinary retention, herniation of the urinary bladder should be highly considered in the differential diagnosis.http://dx.doi.org/10.1155/2015/531021 |
| spellingShingle | Amit Frenkel Aviel Roy-Shapira Ilan Shelef Gadi Shaked Evgeni Brotfain Leonid Koyfman Abraham Borer Moti Klein Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention Case Reports in Surgery |
| title | Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention |
| title_full | Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention |
| title_fullStr | Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention |
| title_full_unstemmed | Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention |
| title_short | Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention |
| title_sort | inguinal herniation of the urinary bladder presenting as recurrent urinary retention |
| url | http://dx.doi.org/10.1155/2015/531021 |
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