A rare case of bladder gangrene associated with inguinal hernia: case report


  • S. P. Gayathre Rajiv Gandhi Government Hospital, Madras Medical College, Chennai, Tamil Nadu, India
  • M. Kudiyarasu Rajiv Gandhi Government Hospital, Madras Medical College, Chennai, Tamil Nadu, India
  • Aarthy Baskaran Rajiv Gandhi Government Hospital, Madras Medical College, Chennai, Tamil Nadu, India https://orcid.org/0000-0001-8787-7187




Strangulated hernia, Bladder gangrene, Inguinal hernia


Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.

Author Biography

Aarthy Baskaran, Rajiv Gandhi Government Hospital, Madras Medical College, Chennai, Tamil Nadu, India

MS general surgery


Curry NS. Hernias of the urinary tract. In: Pollack HM, McClennan BL, editors. Clinical urography. 3rd ed. Philadelphia, PA: Saunders. 2000: 2981-2991.

Kim KH, Kim MU, Jeong WJ, Lee YS, Kim KH, Park KK et al. Incidentally detected inguinoscrotal bladder hernia. Korean J Urol. 2011;52:71-3.

Fisher PC, Hollenbeck BK, Montgomery JS, Underwood W3rd. Inguinal bladder hernia masking bowel ischemia. Urology. 2004;63:175-6.

Góngora-Gómez EM. Strangulated inguinal hernia. Cir Cir. 2012;80(4):357-67.

Manikandan R, Mehra K, Dorairajan LN, Bokka SH. Gangrenous cystitis: An extremely rare infectious condition managed by neobladder-A case report with review of literature. Urol Ann. 2019;11(3):317-9.

Wu WJ, Smith AD, Okeke Z. Bladder necrosis associated with placenta accreta, embolization, and repair of cystotomies. J Endourol Case Rep. 2015;1(1):24-6.

Doğan S, Erikoglu M. Strangulated inguinal hernia of the bladder and intestinal necrosis. Archives of Medical Science-Civilization Dis. 2017;1:87-8. .

Slater R, Amatya U, Shorthouse A.J. Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature. Tech Coloproctol. 2008;12:255-8.

McFadyen BV, Mathis CR. Inguinal herniorraphy: complications and recurrences. Semin Laparosc Surg. 1994;1:128-40.

Gallegos NC, Dawson J, Jarvis M, Hobsely M. Risk of strangulation in groin hernias. Br J Surg. 1991;78:1171-73.

Hamidi MA, Mohammadi NH, Baghani AHR, Enshaei A, Asadollahzade A. Scrotal herniation of bladder: a case report. Iran J Med Sci. 2013;38(1):62-4.

Moufid K, Touiti D, Mohamed L. Inguinal Bladder hernia: four case analyses. Rev Urol. 2013;15(1):32-6.

Gomella LG, Spires SM, Burton JM. The surgical implications of herniation of the urinary bladder. Arch Surg. 1985;120:964-7.

Bisharat M, O’Donnell ME, Thompson T. Complications of inguinoscrotal bladder hernias: a case series. Hernia. 2009;13:81-4.

Kraft KH, Sweeney S, Fink AS. Inguinoscrotal bladder hernias: report of a series and review of the literature. Can Urol Assoc J. 2008;2:619-23

Bjurlin MA, Delaurentis DA, Jordan MD, Richter HM 3rd. Clinical and radiographic findings of a sliding inguinoscrotal hernia containing the urinary bladder. Hernia. 2010;14:635-8.






Case Reports