# A Case of Abdominal Incisional Bladder Hernia

## TL;DR

A 60-year-old woman with a rare abdominal incisional bladder hernia was successfully treated with surgery and has shown no recurrence.

## Contribution

This paper presents a rare clinical case of an abdominal incisional bladder hernia and its successful surgical management.

## Key findings

- The patient had a hernia in the bladder, revealed by ultrasound and CT scans.
- Surgical repair with direct suture closure was effective and resulted in a good recovery.
- The patient has remained recurrence-free four months post-surgery.

## Abstract

The case is a woman in her 60s. She had been aware of lower abdominal distention and pain for six months but was under observation. Gradually, the patient experienced worsening pain during distention and became aware of distention, especially before urination. She visited our clinic. Ultrasound (US) and computed tomography (CT) revealed an abdominal incisional hernia. The hernia was in the bladder. We decided on surgical treatment and made a skin incision of about 3 cm just above the hernia portal. Since the size of the hernia portal was approximately 1.3 cm, the patient underwent direct suture closure to repair the hernia portal, and the surgery was completed. The postoperative course was good. The patient was discharged on the second postoperative day. Four months have passed since the surgery, and the patient is under observation without recurrence.