Inguinoscrotal Bladder Herniation: Report of 2 Cases and Literature Review

腹股溝陰囊膀胱疝氣：二病例報告及文獻回顧

黃世傑(Shih-Chieh Huang) ； 黃世聰(Shih-Tsung Huang) ； 謝明里(Ming-Li Hsieh) ； 崔克宏(Ke-Hung Tsui) ； 張慧朗(Phei-Lang Chang)

《中華民國泌尿科醫學會雜誌》 12卷3期 (2000/03) Pp. 135-138

https://doi.org/10.7024/JUAROC.200003.0135

摘要

腹股溝膀胱疝氣是一種罕見的臨床病症，佔所有腹股溝疝氣的百分之一至四。
我們報告二例腹股溝陰囊膀胱疝氣。首例為59歲男性間斷性有右側陰囊腫塊達兩年。腫塊在解尿時經由腹股溝突出，解完尿後就消失。解尿膀胱尿道攝影呈現一個狗耳朵狀的膀胱疝氣進到右側陰囊。第二例81歲男性由骨盆腔電腦斷層攝影及膀胱攝影診斷。膀胱疝氣的直接復位及疝氣修補手術可以經由腹股溝刀口完成。
當病患抱怨解尿後腹股溝腫塊消退，就必須在術前考慮此診斷。解尿膀胱尿道攝影或是陰囊超音波檢查可以確認膀胱疝氣的診斷。膀胱疝氣直接復位及後腹壁或內環的修補是適當的治療方法。

關鍵字

膀胱疝氣 ； 疝氣 ； 解尿膀胱尿道攝影

並列摘要

Inguinal bladder hernia is a rare clinical condition, reported in 1 to 4% of inguinal hernia cases.
This study reports 2 cases of inguinoscrotal bladder herniation. The first case involves a 59-year-old male who had intermittent right scrotal mass for 2 years. The mass lesion protruded through the inguinal canal during voiding and disappeared after voiding. Voiding cystourethrography demonstrated a dog-ear bladder herniation into the right scrotum. The second case involves and 81-year-old male diagnosed by computed tomography (CT) of the pelvis and cystography. Simple reduction of bladder herniation with herniorrhaphy was accomplished through an inguinal incision.
Preoperative diagnosis should be considered when patients complain of inguinal mass reduction after micturition. The diagnosis of bladder hernia can be confirmed by voiding cystourethrography or scrotal ultrasonography. Simple reduction of bladder herniation with repair of the posterior wall or internal ring is an adequate treatment.

並列關鍵字

bladder herniation ； hernia ； voiding cystourethrography