An atypical post colonoscopy complication: bladder herniation
Inguinal hernia, bladder herniation, testicular disease, hernia reduction, colonoscopy-related complications
CT: computerized tomography
An 84-years-old man was admitted to our emergency department for rising scrotum edema after a colonoscopy procedure, executed the previous day; the patient referred persistent constipation during the last 72 hours.
Further investigations and management
After a first attempt of manual reduction, the hernial status was unchanged, so it was decided to further investigate it with an abdominal computerized tomography (CT) scan.
The abdominal CT scan showed the known sigma neoplasia and a voluminous bladder herniation in the right inguinal seat, without enteral expansion above it.
A bladder catheter was temporary placed to ensure optimal emptying and the patient was referred for surgical treatment.
The patient underwent a hernial reduction surgery; during the procedure a voluminous hernial sack was found, with the bladder completely dislocated into it. After verifying bladder continence, the bladder was replaced in its natural position and the trasversalis fascia was reconstructed.
Figure 1. CT examination of the bladder herniation
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