Inguinal Hernia Containing Bladder Eponym
In a richter hernia part rather than the entire circumference of the bowel wall is trapped.
Inguinal hernia containing bladder eponym. It occurs when the urinary bladder or ureter herniates into the inguinal canal scrotal sac or femoral canal herniations through ischiorectal obturator or abdominal wall openings have also been described. 1 since that time despite several reports and advances in abdominal imaging ibh remains a constant trap for the surgeon before the diagnosis during herniorrhaphy and even in the postoperative period. Herniation of the urinary bladder into an inguinal or femoral hernia has been known since the middle ages with the first record of this entity by plater in 1550 10. Herniation of the urinary bladder is a relatively uncommon but not a rare condition.
Amyand s hernia the term amyand s hernia refers to the presence of the appendix within the hernial sac and has been variously defined as the occurrence of either an inflammed or perforated appendix within an inguinal hernia or simply the presence of a non inflammed appendix within an irreducible inguinal hernia. A sliding hernia usually indirect inguinal in location is a hernia in which a part of the wall of the hernia sac is formed by an intra abdominal viscus usually colon sometimes bladder. Actually the bladder is involved in 1 to 4 of inguinal hernias in the. A 62 year old male patient presented with.
Inguinal bladder hernia first described in the literature by levine in 1951 is a rare condition despite the proximity of the bladder to the inguinal canal bladder herniation is present in 1 4 of all inguinal hernias though incidence may be as high as 10 in obese men over the age of 50 risk factors include male gender advanced age chronic urinary obstruction. Herniation of the bladder into the inguinal canal can be seen in 0 5 4 of inguinal hernias. Described first by levine in 1951 as scrotal cystocele inguinal bladder hernia ibh is a rare clinical condition. Appendix within the hernial sac an inflammed or perforated appendix within an inguinal hernia or simply the presence of a non inflammed appendix within an irreducible inguinal hernia.
If only a small part of the bladder is herniating the patient may be asymptomatic. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. The bladder can partially or entirely herniate into the inguinal canal. Inguinoscrotal herniation of the bladder is a rare clinical entity with a frequency between 0 5 x0025.
Bladder herniation into the scrotum has also been called scrotal cystocele. Usually encountered in elderly men and may be associated with distal urinary tract obstruction. Start studying hernia eponyms. Symptoms are present in about 66 of affected people.
The colon and the urinary bladder are. A bulging area may occur that becomes larger when bearing down. When the whole bladder and ureters migrate into the scrotum it may cause urinary disorders. This may include pain or discomfort especially with coughing exercise or bowel movements.
The radiographic demonstration of such a hernia is uncommon despite its description by robins as early as 1929 7. Often it gets worse throughout the day and improves when lying down. The pathophysiology of amyand s hernia is unknown.