腹股溝膀胱/輸尿管疝氣造成之尿路阻塞:病例報告
曾仁澍1、周永強1、陳建志1,2、邱文祥1,2,3
1台北馬偕紀念醫院 泌尿科；1馬偕醫學大學醫學院；1陽明大學醫學院
Inguinal bladder/ureter hernia with obstructive uropathy: A case report
Jen-Shu Tseng1, Yung-Chiong Chow1, Chien-Chih Chen1,2, Prof. Allen W. Chiu,1,2,3
1Department of Urology, Mackay Memorial Hospital, Taipei, Taiwan
2School of Medicine, MacKay Medical University, Taiwan
3School of Medicine, National Yang-Ming University, Taiwan
Objectives: Reporting a case with inguinal bladder/ureter hernia related obstructive uropathy which the renal function regained after surgical intervention.
Case presentation: A 96-year-old male visited our ER for fallen down injury. The patient had past history of CHF, anemia, and BPH, s/p laser TURP in 2011. There were no head injury or cerebral vascular event after general check-ups. Nevertheless, an irreducible mass bulging at right inguinal area was incidentally found during Foley insertion. Lab data showed deteriorated renal function (Creatinine: 2.09 mg/dL; estimated GFR: 29.7 mL/min). The patient claimed that the mass lesion was found for years with unfixed size. Abdominal CT scan revealed herniated urinary bladder and right distal ureter into the right inguinal cannel, leading to right hydronephrosis and hydroureter. Surgical intervention with bladder hernia reduction and bassini repair was performed.
Result: Followed renal function got back to normal range after the surgery. The patient discharged uneventfully after the operation.
Conclusion: Bladder/ureteral hernia may cause obstructive uropathy which could be corrected with surgical reduction of the herniated contents. Image studies play an important role in the diagnosis of such situation.