Muscle-invasive urothelial carcinoma of the bladder in a direct inguinal hernia.
Antonia Jessica Brancher, Stephen Brough, Anuruddha Gallappatige et al.
✦ AI-curated · Sources linked
Case in brief
A man in his late 60s presented with macroscopic hematuria and a right groin lump that improved after urination. Examination revealed an incarcerated right inguinal hernia containing part of the bladder. Cystoscopy identified three papillary tumors in the herniated bladder segment, while the rest of the bladder appeared normal. The patient underwent open hernia repair, partial cystectomy, and pelvic node dissection.
What made this case unusual
The case highlights an inguinal hernia containing part of the bladder, which is uncommon, along with the rare occurrence of neoplastic change in the herniated bladder segment.
Diagnostic / clinical pearl
Clinicians should consider the possibility of bladder pathology in patients presenting with inguinal hernias, especially when accompanied by hematuria.
Why it matters
This case underscores the need for individualized treatment approaches in patients with complex presentations involving hernias and potential bladder tumors.