Inguinal hernia containing bladder

Case contributed by Naresh Maheshwari , 17 Dec 2014
Diagnosis certain
Changed by Henry Knipe, 21 Sep 2015

Updates to Case Attributes

Title was changed:
Bladder inguino scrotal herniationInguinal hernia containing bladder
Body was changed:

Less commonly, inguinal hernias do involve bladder wall. In our case it was discovered incidentlyincidentally but it is important to identify the pathology as these are often associated with complications such as UTI, obstructive uropathy and bladder infarctions. In addition, these patients may have higher incidence of genitourinary cancers.

Commonest age group is 50-70 years.

Ultrasound or CT may be done initially to establish the diagnosis. Previously IVU or cystograms were also performed as part of the radiologic investigations. 

  • -<p>Less commonly, inguinal hernias do involve bladder wall. In our case it was discovered incidently but it is important to identify the pathology as these are often associated with complications such as UTI, obstructive uropathy and bladder infarctions. In addition, these patients may have higher incidence of genitourinary cancers.</p><p>Commonest age group is 50-70 years.</p><p>Ultrasound or CT may be done initially to establish the diagnosis. Previously IVU or cystograms were also performed as part of the radiologic investigations. </p><p> </p>
  • +<p>Less commonly, inguinal hernias do involve bladder wall. In our case it was discovered incidentally but it is important to identify the pathology as these are often associated with complications such as UTI, obstructive uropathy and bladder infarctions. In addition, these patients may have higher incidence of genitourinary cancers.</p><p>Commonest age group is 50-70 years.</p><p>Ultrasound or CT may be done initially to establish the diagnosis. Previously IVU or cystograms were also performed as part of the radiologic investigations. </p>
Diagnostic Certainty was set to .

Tags changed:

  • hernia
  • general surgery

Updates to Study Attributes

Findings was changed:

1. There is herniation of the antero-lateral wall of the bladder in the right inguinal canal. No upstream distension of the ureter or pelvicalysealpelvicalyceal system on the right side.

2. Also noted was ballooning and gross distension of left pelvicalyceal system withnormal normal calibre of the ureter in keeping PUJ stricture. Bilateral renal cortical thinning is demonstrated. A large cortical cyst is seen in the upper pole of the left kidney.

3. Prostatomegaly Prostatomegaly with calcifications.

4. Non Non complicated sigmoid diverticulosis

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