Laparoscopic identification of a direct inguinal hernia with bladder involvement in an infant

被引：0

作者：

Kang, Juhye ^{[1
]}

Kus, Nicole J. ^{[2
]}

Moore, James T. ^{[2
]}

Strauch, Eric D. ^{[2
]}

Englum, Brian R. ^{[2
,3
]}

机构：

[1] Univ Maryland, Baltimore Sch Med, Baltimore, MD USA

[2] Univ Maryland, Div Pediat Surg, Med Ctr, Baltimore, MD USA

[3] Univ Maryland, Dept Surg, Sch Med, 29 S Greene St, Baltimore, MD 21201 USA

来源：

JOURNAL OF PEDIATRIC SURGERY CASE REPORTS | 2023年 / 88卷

关键词：

Direct inguinal hernia; Pediatric surgery; Laparoscopic repair; RISK-FACTORS; REPAIR; INCARCERATION;

D O I：

10.1016/j.epsc.2022.102504

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Inguinal hernias are a common problem in premature infants, with incidence increasing as the gestational age decreases. Direct inguinal hernias are rare in infants with minimal documentation in the medical literature. We present the case of a premature infant who was found to have a di-rect inguinal hernia containing bladder during laparoscopic inguinal hernia repairs. The patient was a premature 25-week gestational age infant admitted to the neonatal intensive care unit. At 3-months old, pediatric surgery was consulted for bilateral inguinal hernias. Intraoperatively, la-paroscopic visualization of the hernias demonstrated a typical left indirect inguinal hernia; how-ever, on the right side, we found a direct inguinal hernia, medial to the right medial umbilical lig-ament that contained a large portion of the bladder. The left indirect hernia was successfully re-paired laparoscopically, while the right was repaired with conversion to an open Bassini repair. The postoperative course of the infant was unremarkable.

引用

页数：5

共 19 条

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