Urinary Bladder Injury during Pediatric Inguinal Herniorrhaphy.
- Author:
Kyoung Hoon KO
1
;
So Hyun NAM
;
Dae Yeon KIM
;
Seong Chul KIM
;
In Koo KIM
Author Information
1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sckim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Inguinal hernia;
Herniorrhaphy;
Urinary bladder injury
- MeSH:
Anti-Bacterial Agents;
Catheters;
Drainage;
Female;
Hematuria;
Hernia, Inguinal;
Herniorrhaphy*;
Humans;
Inguinal Canal;
Urinary Bladder*
- From:Journal of the Korean Surgical Society
2006;71(4):315-318
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An inguinal hernia is common in pediatric age. However, an in injury to the bladder during hernia repair is quite rare, which may be related to the lack of awareness of the inguinal canal anatomy or inadequate exposure. Gross hematuria and voiding difficulty after herniorrhaphy may indicate a possible injury. Cystography can define the presence and type of injury. An extraperitoneal bladder injury can be managed safely by catheter drainage, antibiotics, and close clinical observations. An intraperitoneal injury requires surgical exploration and bladder closure. We report a case of a urinary bladder injury that was detected after the completion of herniorrhaphy in an eight-year-old girl.
