BLADDER HERNIA WITH POSITIVE MERY SIGN alondra.adg97@gmail.com

PE093

BLADDER HERNIA WITH POSITIVE MERY SIGN

5

 

 

 

 

Mexico

Poster Exhibition only

Bladder hernia is defined as a portion of the urinary bladder or diverticulum that comes out through the hernial orifice. It represents between 0.3% to 3% of hernias in adults.

A case of a 75-year-old male is presented who presented inguinal hernia and positive Mery's sign, where a significant bladder herniation was observed using urotomography. It is protocolized for hernioplasty with polypropylene mesh (Liechtenstein technique). Patient progresses satisfactorily after surgery.

Patient has a favorable postoperative period, walking, tolerating oral intake and channeling gases within the immediate postoperative period. He was discharged due to improvement to continue outpatient management on the second postoperative day. During outpatient follow-up, a new UroCT scan was performed with an elimination phase where the bladder was found to be in the correct position, with no hernia defect.

Bladder hernia is a rare pathology with a complex diagnosis, due to its few symptoms and non-specific symptoms, even in larger cases. For this reason, it is essential that both the first contact doctor and the surgeon are familiar with this condition, in order to make a timely diagnosis and provide adequate treatment to reduce the risk of preoperative and intraoperative complications.