Incarcerated Bladder Diverticulum in a Femoral Hernia Presenting as Recurrent Hematuria

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Case Report

Publication Date

8-12-2020

Keywords

femoral hernia, bladder diverticulum, incarcerated bladder, hematuria

Disciplines

Female Urogenital Diseases and Pregnancy Complications | Pathological Conditions, Signs and Symptoms | Surgery

Abstract

Groin hernias are extremely common surgical pathologies and usually contain intra-abdominal viscera surrounded by peritoneum. Femoral hernias are the least common types of hernia and are predominately found in females. In rare cases, an extraperitoneal organ may be pulled into the hernia sac to become part of the content. Urinary bladder diverticulum should be considered as a possible femoral hernia content in elderly patients presenting with recurrent symptoms of lower urinary tract infections and hematuria. A high index of suspicion followed by appropriate imaging assists in making a correct preoperative diagnosis and improves postoperative outcomes. We present an uncommon case of herniation of a urinary bladder diverticulum into a femoral hernia presenting with recurrent hematuria in an elderly female.

Publisher or Conference

Cureus

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