A Case of One-Stage Surgical Treatment for a Bladder Hernia with Bladder Calculi.

Abstract

<h4>Introduction</h4>A bladder hernia associated with bladder calculi is an extremely rare condition, with no consensus established regarding its management. Herein, we report a case in which 1-stage surgical treatment was performed for a bladder hernia complicated by bladder calculi.<h4>Case presentation</h4>The patient presented with a swelling in the right inguinal region. CT revealed a bladder hernia accompanied by multiple bladder calculi. An inguinal incision was made, the bladder stones were removed, and hernia repair was performed using the Lichtenstein method. At 3 years postoperatively, there was no recurrence of either bladder calculi or hernia.<h4>Conclusions</h4>For inguinal hernias accompanied by bladder calculi in which transurethral lithotripsy is challenging, open surgical fragmentation of bladder calculi and inguinal hernia repair by using the Lichtenstein method through the same surgical field may be useful approaches.