Beyond the ordinary: laparoscopic management of a rare inguinal hernia with bladder involvement

Abstract

Inguinal hernias are common in surgical practice, with a small percentage involving bladder herniation. These inguinoscrotal bladder hernias, though rare, present significant diagnostic and treatment challenges. This case report details the diagnosis, treatment, and postoperative management of a 63-year-old male with benign prostatic hyperplasia, presenting with an inguinal hernia involving the bladder. Diagnosis was confirmed with physical examination and computed tomography scans, showing bladder herniation into the inguinal canal. Surgery involved laparoscopic inguinal hernia repair using a transabdominal preperitoneal approach. The surgery was successful with no complications and the patient was discharged 48 hours later. A three-month follow-up showed no recurrence or urinary complications. This case emphasizes the importance of considering inguinoscrotal bladder hernias in patients with inguinal bulges and urinary symptoms. Early diagnosis, supported by imaging and awareness, followed by laparoscopic repair, is essential for favorable outcomes in these rare cases.