urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2023-11-4-151-157urovest-795Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL CASESГигантская левосторонняя пахово-мошоночная грыжа с вовлечением мочевого пузыряHuge left-sided sliding inguinal bladder herniahttps://orcid.org/0000-0002-2359-6973ГулиевБ. Г.GulievB. G.

Бахман Гидаятович Гулиев — д-р мед. наук, профессор; руководитель Центра урологии с робот-ассистированной хирургией СПб ГБУЗ «Городская Мариинская больница»; профессор кафедры урологии 

Санкт-Петербург

Bakhman G. Guliev — M.D., Dr.Sc.(Med), Full Prof.; Prof., Dept. of Urology; Head, Urology Centre with Robot-assisted Surgery

St. Petersburg

 

gulievbg@mail.ruhttps://orcid.org/0000-0001-9646-9775СоловьевИ. А.SolovievI. A.

Иван Анатольевич Соловьев — д-р мед. наук, профессор; заместитель главного врача по хирургии 

Санкт-Петербург

Ivan A. Soloviev — M.D., Dr.Sc.(Med), Full Prof.; Deputy CMO for Surgery

St. Petersburg

 

ivsolov@yandex.ruhttps://orcid.org/0000-0001-5300-5479СтецикЕ. О.StetsikE. O.

Евгений Олегович Стецик — канд. мед. наук; врач-уролог Центра урологии с робот-ассистированной хирургией 

Санкт-Петербург

Evgeniy O. Stetsik — M.D., Cand.Sc.(Med); Urologist, Urology Centre with Robot-assisted Surgery

St. Petersburg

 

stetsik8@mail.ruhttps://orcid.org/0000-0001-6905-0581АндрияновА. А.AndriyanovA. A.

Александр Андреевич Андриянов — ординатор кафедры урологии 

Санкт-Петербург

Alexander A. Andriyanov— Resident, Dept. of Urology

St. Petersburg

 

mr.haisenberg001@gmail.comГородская Мариинская больница; Северо-Западный государственный̆ медицинский̆ университет им. И. И. МечниковаРоссияSt. Petersburg Mariinsky Hospital; Mechnikov North-Western State Medical UniversityRussian FederationГородская Мариинская больницаРоссияSt. Petersburg Mariinsky HospitalRussian FederationСеверо-Западный государственный̆ медицинский̆ университет им. И. И. МечниковаРоссияMechnikov North-Western State Medical UniversityRussian Federation202325122023114151157Copyright © Гулиев Б.Г., Соловьев И.А., Стецик Е.О., Андриянов А.А., 20232023Гулиев Б.Г., Соловьев И.А., Стецик Е.О., Андриянов А.А.Guliev B.G., Soloviev I.A., Stetsik E.O., Andriyanov A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/795

Паховая грыжа с вовлечением мочевого пузыря (МП) является редкой патологией, частота встречаемости которой выше у мужчин и увеличивается с возрастом. Поиск тематической литературы в базах данных PubMed, Google Scholar и MedLine, включавший 1990 – 2023 годы, позволил отобрать 27 статей для анализа. Изучены распространённость скользящей грыжи МП, методы её диагностики и лечебная тактика. В статье также представлено собственное клиническое наблюдение гигантской скользящей грыжи МП. У мужчины 70 лет МП практически полностью был смещён в грыжевой мешок, на фоне задержки мочеиспускания развилась хроническая болезнь почек. После дренирования МП, нормализации уровня креатинина и стабилизации общего состояния пациента была выполнена пластика паховой грыжи.

Sliding inguinal bladder hernia (IBH) is a scarce pathology whose prevalence is higher in men and increases with age. Subject literature searches in PubMed, eLibrary, and MedLine databases covering 1990 to 2023 selected 27 articles for analysis. We studied the prevalence of sliding IBH, its diagnostic methods, and therapeutic tactics. The clinical case also presents our own observation of giant sliding IBH. In a 70-year-old man, the bladder was almost completely displaced into the hernia sac, and chronic kidney disease occurred due to urinary retention. After drainage of bladder, normalisation of creatinine and stabilisation of the patient's general condition, we performed hernioplasty.

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The authors declare that there are no conflicts of interest present.