Hernia EN-Glissade of Urinary Bladder Presenting As Surgical Emergency; a Case Report

Abstract

A 54 years old male presented to emergency with strangulated right sided inguinoscrotal hernia with history of acute pain for previous 8 hours with high lactic acid. An ultrasound of swelling done showed presence of bowel. Patient was resuscitated and was immediately taken to operation theatre for suspected ischemic bowel and was found to have hernia en-glissade containing urinary bladder with very narrow external ring causing strangulation and lax posterior inguinal canal wall. External ring opened and contents released, no ischemia identified, Sac opened and bowel rum as well to rule out ischemic bowel and was found healthy. Post operatively patient did well and was discharged on 4th postoperative day and thereafter follow up wasunremarkable.