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Unusual presentation of more common disease/injury
CASE REPORT
Obstructive uropathy from complete bladder and bilateral ureteral incarceration within an inguinal hernia
  1. Leah H Hellerstein1,
  2. Stuart Marshall Sacks1,
  3. Daniel K Hellerstein2
  1. 1University of Miami Miller School of Medicine, Miami, Florida, USA
  2. 2JFK Medical Center North Campus, West Palm Beach, Florida, USA
  1. Correspondence to Ms. Leah H Hellerstein, lhh36{at}med.miami.edu

Summary

A 59-year-old man with a medical history of hypertension, gout and obesity presented to the hospital with a chief complaint of worsening scrotal oedema. The patient endorsed associated symptoms of decreased force of stream on urination, stranguria and hesitancy with slight dysuria. Physical exam showed an effaced umbilicus and phallus with a hidden scrotum estimated to be 30×20×30 cm in size. Imaging and lab findings led to a diagnosis of total bladder herniation within an incarcerated right inguinal hernia. Surgical repair of the inguinal hernia and replacement of the bladder and ureters led to a resolution of urinary symptoms with no evidence of vesicoureteral reflux or urinary retention.

  • urological surgery
  • urology
  • acute renal failure
  • general surgery

https://doi.org/10.1136/bcr-2017-222637

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    Footnotes

    • Contributors LHH was the lead author of this project, having reviewed the case in its entirety and performed the literature review used in the Discussion section. SMS reviewed the case in its entirety and contributed significantly to the writing of the manuscript. DKH provided the case mentioned here, as well as served in an advisory role for this project.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.