-Case Reports-

Incisional Bladder Hernia with Temporary Bowel Incarceration: Report of a Case

Ichiro Akagi, Masao Miyashita, Hiroshi Makino, Tsutomu Nomura, Nobuhiko Taniai and Takashi Tajiri

Surgery for Organ Function and Biological Regulation, Graduate School of Medicne, Nippon Medical School

Abdominal hernias are not rare in women, but incisional bladder hernias are rare. The incisional hernia is a condition caused by protrusion of the abdominal viscera through the abdominal fascia. The presenting symptoms in the cases reported included suprapubic discomfort, irritative voiding symptoms, and urinary incontinence. We present a case of bladder herniation with temporary bowel incarceration through a lower midline incision, which followed operative intervention. The temporary bowel herniation was managed conservatively because the impairment of the blood supply was not severe.

J Nippon Med Sch 2009; 76: 34-37

Keywords
incisional hernia, urinary bladder, incarceration

Correspondence to
Ichiro Akagi, MD, Department of Surgery (Divisions of Gastroenterology, General, Breast and Transplant), Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
ichiro@nms.ac.jp

Received, July 4, 2008
Accepted, November 6, 2008