Bladder injury in an incarcerated inguinal hernia in a pediatric patient

Bladder injury is a relatively uncommon side effect of inguinal hernia surgery. One of the causes is bladder ears, i.e., protrusions of the urinary bladder across the deep inguinal ring. Here, we presented a case of bladder injury during inguinal hernia surgery that was found intraoperative and succ...

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Main Authors: Gunadi, Gunadi, Oktavian, Arif, Iskandar, Kristy, Vujira, Khanza Adzkia, Fauzi, Aditya Rifqi
Format: Article
Language:English
Published: Elsevier 2022
Subjects:
Online Access:https://repository.ugm.ac.id/278724/1/Gunadi_KKMK.pdf
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author Gunadi, Gunadi
Oktavian, Arif
Iskandar, Kristy
Vujira, Khanza Adzkia
Fauzi, Aditya Rifqi
author_facet Gunadi, Gunadi
Oktavian, Arif
Iskandar, Kristy
Vujira, Khanza Adzkia
Fauzi, Aditya Rifqi
author_sort Gunadi, Gunadi
collection UGM
description Bladder injury is a relatively uncommon side effect of inguinal hernia surgery. One of the causes is bladder ears, i.e., protrusions of the urinary bladder across the deep inguinal ring. Here, we presented a case of bladder injury during inguinal hernia surgery that was found intraoperative and successfully repaired without any sequelae for long-term follow up after surgery. A 10-month-old male came to the emergency department with a chief complaint of swelling and pain on the groin and profuse vomiting. Fluid resuscitation and manual reduction was performed but failed. Therefore, we decided to perform emergency surgery. We accidently opened the bladder during the surgery since mimicking the hernia sac. Fortunately, this injury was found intraoperatively. Subsequently, we repaired the bladder injury, followed by hernia repair. The patient was discharged uneventfully on a post-operative day 7. The patient was regularly followed up for approximately two years after surgery. No sequelae were noted. In conclusions, bladder injury is a rare case that might be occurred during an incarcerated inguinal hernia repair. Surgeons, particularly young surgeons or trainees should be aware of the possibility of bladder ears that might mimic the hernia sac and injured during the hernia repair.
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spelling oai:generic.eprints.org:2787242023-11-02T00:40:18Z https://repository.ugm.ac.id/278724/ Bladder injury in an incarcerated inguinal hernia in a pediatric patient Gunadi, Gunadi Oktavian, Arif Iskandar, Kristy Vujira, Khanza Adzkia Fauzi, Aditya Rifqi Clinical Sciences Bladder injury is a relatively uncommon side effect of inguinal hernia surgery. One of the causes is bladder ears, i.e., protrusions of the urinary bladder across the deep inguinal ring. Here, we presented a case of bladder injury during inguinal hernia surgery that was found intraoperative and successfully repaired without any sequelae for long-term follow up after surgery. A 10-month-old male came to the emergency department with a chief complaint of swelling and pain on the groin and profuse vomiting. Fluid resuscitation and manual reduction was performed but failed. Therefore, we decided to perform emergency surgery. We accidently opened the bladder during the surgery since mimicking the hernia sac. Fortunately, this injury was found intraoperatively. Subsequently, we repaired the bladder injury, followed by hernia repair. The patient was discharged uneventfully on a post-operative day 7. The patient was regularly followed up for approximately two years after surgery. No sequelae were noted. In conclusions, bladder injury is a rare case that might be occurred during an incarcerated inguinal hernia repair. Surgeons, particularly young surgeons or trainees should be aware of the possibility of bladder ears that might mimic the hernia sac and injured during the hernia repair. Elsevier 2022-08-02 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/278724/1/Gunadi_KKMK.pdf Gunadi, Gunadi and Oktavian, Arif and Iskandar, Kristy and Vujira, Khanza Adzkia and Fauzi, Aditya Rifqi (2022) Bladder injury in an incarcerated inguinal hernia in a pediatric patient. Journal of Pediatric Surgery Case Reports, 85 (2022). pp. 1-3. ISSN 2213-5766 https://www.elsevier.com/locate/epsc https://doi.org/10.1016/j.epsc.2022.102400
spellingShingle Clinical Sciences
Gunadi, Gunadi
Oktavian, Arif
Iskandar, Kristy
Vujira, Khanza Adzkia
Fauzi, Aditya Rifqi
Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title_full Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title_fullStr Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title_full_unstemmed Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title_short Bladder injury in an incarcerated inguinal hernia in a pediatric patient
title_sort bladder injury in an incarcerated inguinal hernia in a pediatric patient
topic Clinical Sciences
url https://repository.ugm.ac.id/278724/1/Gunadi_KKMK.pdf
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AT vujirakhanzaadzkia bladderinjuryinanincarceratedinguinalherniainapediatricpatient
AT fauziadityarifqi bladderinjuryinanincarceratedinguinalherniainapediatricpatient