Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention
Joint Authors
Shelef, Ilan
Borer, Abraham
Roy-Shapira, Aviel
Brotfain, Evgeni
Klein, Moti
Frenkel, Amit
Koyfman, Leonid
Shaked, Gad
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Frenkel, Amit& Roy-Shapira, Aviel& Shelef, Ilan& Shaked, Gad& Brotfain, Evgeni& Koyfman, Leonid…[et al.]. 2015. Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060077
Modern Language Association (MLA)
Frenkel, Amit…[et al.]. Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention. Case Reports in Surgery No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060077
American Medical Association (AMA)
Frenkel, Amit& Roy-Shapira, Aviel& Shelef, Ilan& Shaked, Gad& Brotfain, Evgeni& Koyfman, Leonid…[et al.]. Inguinal Herniation of the Urinary Bladder Presenting as Recurrent Urinary Retention. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060077
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060077