Massive Inguinoscrotal Bladder Hernia and Bladder Tumor: A Very Rare Case

Here, we present a case of a 60-year-old male patient with inguinoscrotal bladder hernia and a bladder tumor who underwent cystoscopy and had no transurethral access. On the images, a massive inguinoscrotal hernia and a mass of 2.8 cm in diameter in the bladder were seen. First of all, hernia was repaired. Transurethral resection of the tumor was then performed. The tumor was in the posterior wall. High-grade T2 urothelial carcinoma was detected. The patient was offered radical surgery but he refused the operation. Multimodal therapy was recommended for the patient.

Masif İnguinoskrotal Mesane Hernisi ve Mesane Tümörü: Çok Nadir Bir Olgu

Bu raporda 60 yaşında inguinoskrotal mesane hernisi ve mesane tümörü olan, sistoskopi için başarısız üretral akses öyküsü olan bir erkek hasta sunulmaktadır. Görüntülemelerde masif bir inguinoskrotal herni ve 2,8 cm çapında mesane tümörü saptandı. Öncelikle herni tamiri yapıldı ve ardından tümör transüretral olarak rezeke edildi. Tümör posterior duvardaydı. T2 mesane kanseri saptanan hastaya radikal cerrahi önerildi fakat hasta tedaviyi reddetti. Bunun üzerine hastaya multimodal tedavi önerildi.

Kaynakça

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Kraft KH, Sweeney S, Fink AS, Ritenour CW, Issa MM. Inguinoscrotal bladder hernias: report of a series and review of the literature. Can Urol Assoc J 2008;2:619-623.

Kim KH, Kim MU, Jeong WJ, Lee YS, Kim KH, Park KK, Chung MS, Chung BH, Lee SH. Incidentally Detected Inguinoscrotal Bladder Hernia. Korean J Urol 2011;52:71-73.

Epner SL, Rozenblit A, Gentile R. Direct inguinal hernia containing bladder carcinoma: CT demonstration. AJR Am J Roentgenol 1993;161:97-98.

Gomella LG, Spires SM, Burton JM, Ram MD, Flanigan RC. The surgical implications of herniation of the urinary bladder. Arch Surg 1985;120:964- 967.

Katsourakis A, Noussios G, Svoronos C, Alatsakis M, Chatzitheoklitos E. Direct inguinal hernia containing bladder carcinoma: A case report and review of the literature. Int J Surg Case Rep 2014;5:180-182.

Oruç MT, Akbulut Z, Özozan Ö, Coşkun F. Urological findings in inguinal hernias: A case report and review of the literature. Hernia 2004;8:76-79.

Pardo Garcia JL, Perez Calvo J, Domingo Garcia P, Carrasco Gonzalez L, Gonzalez Pina B, Murcia Valcarcel A. [Occult bladder cancer in incarcerated inguinal hernia. Report of a case and review of the literature]. Arch Esp Urol 1997;50:1007-1009.

Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.5b 1.7b

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