Conclusion
Herniation of bladder is a rare clinical condition, consisting of
potentially prominent complication, hiding in a very common surgical
indication-inguinal herniation. Detailed history and examination for
exact diagnosis are extremely important. While most of the previous
reports suggested open approach as the way of surgical repair, we
confirmed that these situations might be managed safely by laparoscopic
total extraperitoneal approach. Laparoscopic approach offers similar
surgical outcome as well as better visibility and improved cosmesis.
Figure 1. Bladder and bilateral ureter herniation associated with
bilateral hydronephrosis
Figure 2. Intra-operative image, showing bladder herniation and
surrounding structures
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