Hernia vesical masiva / Massive bladder hernia

OBJETIVO: Presentamos el caso de una herniavesical masiva en bolsa escrotal que había condicionadola migración de prácticamente la globalidad de la vejiga.MÉTODOS Y RESULTADOS: Varón de 65 años en estudio por HBP que presenta una tumoración en bolsa escrotal, que resultó ser una hernia vesical masiva en bolsa escrotal derecha, del tipo paraperitoneal y acompañada de hernia inguinal, que fue tratada con resección de la porción herniadade la vejiga y corrección de la hernia inguinal con malla de Marlex. En un segundo tiempo se realizó RTU de próstata. Controlado a los seis meses el paciente está asintomático.CONCLUSIONES: La hernia vesical es una patología poco frecuente, que en la mayoría de los casos supone un mero hallazgo preoperatorio en el contexto de la reparaciónde una hernia inguinal. Puede ser del tipo intraperitoneal,extraperitoneal o paraperitoneal. Su diagnóstico es clínico y su confirmación puede ser por cistografía retrógrada,ecografía o TAC. El tratamiento es quirúrgico, ya sea mediante la reducción simple o con resección de la porción herniada

OBJECTIVES: We report a case of a huge bladder hernia conditioning the migration of almost all the bladder into the scrotum. ;;METHODS AND RESULTS: 65-year-old male being studied for BPH who presents a scrotal tumor, which turned out to be a huge inguinal bladder hernia in scrotum, paraperitoneal, accompanied by an inguinal hernia. The treatment consisted in bladder resection and repair of the inguinal hernia with a marlex mesh. Later on, a TURP was done. At a six month control, the patient was non-asymptomatic. ;;CONSLUSIONS: Bladder hernia is an uncommon pathology, and in most of the cases it is an incidental finding during the repair of an inguinal hernia. It can be intraperitoneal, extraperitoneal or paraperitoneal. The diagnosis is clinical, but comfirmation can be done by retrograde cystoghraphy, ultrasonography or CT. The treatment is surgical, repairing the herniation or adding the resection of the bladder herniation

[Massive bladder hernia]. / Hernia vesical masiva.

OBJECTIVES: We report a case of a huge bladder hernia conditioning the migration of almost all the bladder into the scrotum. METHODS AND RESULTS: 65-year-old male being studied for BPH who presents a scrotal tumor, which turned out to be a huge inguinal bladder hernia in scrotum, paraperitoneal, accompanied by an inguinal hernia. The treatment consisted in bladder resection and repair of the inguinal hernia with a marlex mesh. Later on, a TURP was done. At a six month control, the patient was non-asymptomatic. CONCLUSIONS: Bladder hernia is an uncommon pathology, and in most of the cases it is an incidental finding during the repair of an inguinal hernia. It can be intraperitoneal, extraperitoneal or paraperitoneal. The diagnosis is clinical, but comfirmation can be done by retrograde cystoghraphy, ultrasonography or CT The treatment is surgical, repairing the herniation or adding the resection of the bladder herniation.