Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2017

Open Access 01-12-2017 | Case report

Direct bladder hernia after indirect hernia repair in extremely low birth weight babies: two case reports and a review of the literature

Authors: R. B. Tröbs, B. Yilmaz, C. Roll, M. Alrefai

Published in: Journal of Medical Case Reports | Issue 1/2017

Login to get access

Abstract

Background

Inguinal hernia repair is the most common surgical procedure in babies. Despite a meticulous technique, relapses may occur. The occurrence of a direct bladder wall hernia in relapses has never before been reported in the literature.

Case presentation

Here, we report two cases of direct bladder herniation: a white baby boy born after 25 weeks of gestation and a white baby boy born after 26 weeks of gestation. Both of the formerly extremely low birth weight babies were affected after open bilateral hernia repair. Recurrent hernias developed on the right side, and direct bladder herniation was identified intraoperatively. In one case, laparoscopy was applied to identify a supravesical type of hernia. Immaturity and a difficult postnatal course might have contributed to hernia relapse in these cases.

Conclusions

Misinterpretation of bladder herniation might have disastrous consequences. Laparoscopy is a helpful tool in comparable cases.
Literature
1.
go back to reference Shaw A, Santulli TV. Management of sliding hernias of the urinary bladder in infants. Surg Gynecol Obstet. 1967;124:1314–6.PubMed Shaw A, Santulli TV. Management of sliding hernias of the urinary bladder in infants. Surg Gynecol Obstet. 1967;124:1314–6.PubMed
3.
go back to reference Redman JF, Jacks DW, O’Donnell PD. Cystectomy: a catastrophic complication of herniorrhaphy. J Urol. 1985;133:97–8.PubMed Redman JF, Jacks DW, O’Donnell PD. Cystectomy: a catastrophic complication of herniorrhaphy. J Urol. 1985;133:97–8.PubMed
8.
go back to reference Ladd WE, Gross RE. Abdominal surgery of infancy and childhood. Philadelphia: WB Saunders; 1941. p. 354–66. Ladd WE, Gross RE. Abdominal surgery of infancy and childhood. Philadelphia: WB Saunders; 1941. p. 354–66.
10.
go back to reference Jones LJ, Craven PD, Lakkundi A, Foster JP, Badawi N. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev. 2015,6:(CD003669). doi: 10.1002/14651858.CD003669.pub2. Jones LJ, Craven PD, Lakkundi A, Foster JP, Badawi N. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev. 2015,6:(CD003669). doi: 10.​1002/​14651858.​CD003669.​pub2.
Metadata
Title
Direct bladder hernia after indirect hernia repair in extremely low birth weight babies: two case reports and a review of the literature
Authors
R. B. Tröbs
B. Yilmaz
C. Roll
M. Alrefai
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2017
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-1171-5

Other articles of this Issue 1/2017

Journal of Medical Case Reports 1/2017 Go to the issue