鼠径ヘルニア根治術後に発生した腹腔内尿浸潤の1例

Abstract

Bladder complications associated with inguinal hernioplasty is a rare condition. A 76-year-old woman was referred to our hospital complaining of abdominal distension with lower abdominal pain after left inguinal hernioplasty. About 2000 ml of urine-like fluid was obtained by abdominal puncture. Cystogram and abdominal CT scan revealed evidence of intraperitoneal urinary infiltration. At laparotomy there could be found a small hole in the bladder wall around which peritoneum with severe edema and necrotic change was observed. Partial cystectomy was performed. There have been 5 reported cases of bladder rupture after inguinal hernioplasty in the Japanese literature and we review the pathogenesis and treatment of this rare condition.