title: Sliding inguinal hernia with incarceration of urinary bladder diverticulum in a child.
abstract: Although inguinal herniorrhaphy is generally safe, certain complications can occur even with an experienced pediatric surgeon. We present a case of sliding right inguinal hernia with incarceration of urinary bladder diverticulum in a 2-year-old boy. A small perforation at the anterior wall of the urinary bladder, peritonitis, and kinking of the sigmoid colon occurred after the herniorrhaphy. He received exploratory laparotomy for repairing the urinary bladder perforation hole and drainage of the ascites. An anal tube was inserted to keep the sigmoid colon patent. The patient recovered from this insult gradually with an uneventful postoperative course 10 months after the operation, until the writing of this study. Surgeons should be aware of the possibility of urinary bladder diverticulum incarceration at the inguinal canal and should perform the operation meticulously.
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taiwan.
authors.forename: Po-Jui
authors.initials: PJ
authors.lastname: Ko
authors.forename: How-Yu
authors.initials: HY
authors.lastname: Lin
authors.forename: Wen-Hsi
authors.initials: WH
authors.lastname: Lin
authors.forename: Hong-Shiee
authors.initials: HS
authors.lastname: Lai
mesh_terms: D004240:Diverticulum / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*