A Rare Case of a Non-strangulated Bladder Pantaloon Hernia

• Published in: Curēus (Palo Alto, CA) Vol. 14; no. 11; p. e31208
• Main Authors: Lutaya, Innocent, Sayed Mushir Ali, Anam, Terron, Cristina, Habart, Jonatan, Torres, Guilherme, Mederos, Raul
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 07-11-2022; Cureus
• Subjects: Abdomen; Bladder; Case reports; Chronic obstructive pulmonary disease; General Surgery; Hernias; Hydronephrosis; Males; Medical imaging; Radiology; Surgery; Urology; United States > US; bladder hernia; pantaloon hernia; mesh repair; saddlebag; romberg; bladder; pantaloon; indirect hernia; strangulated; hernia
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.31208

A pantaloon hernia occurs when an indirect and direct hernia develop at the same time. The urinary bladder is a rare component of pantaloon hernias. There is a lack of literature regarding an ipsilateral pantaloon with a herniated urinary bladder. Clinically, it has a vague presentation associated with abdominal pain and urinary retention symptoms. The best diagnostic modality is an abdominal CT scan. Surgery is the treatment of choice, rendering a good prognosis. Untreated bladder hernia may lead to strangulation and necrosis of the urinary bladder. We present a rare case of a right-sided pantaloon hernia with a bladder herniation in a 65-year-old man.