Inguinal hernia containing urinary bladder

Case contributed by Dr Sovann Vathana Lay


CT scan for kidney stone follow up and dysuria. Incidental finding.

Patient Data

Age: 80 years
Gender: Male

CT Scan (without IV contrast)

There is a herniation of the bladder through the right inguinal ring into the scrotum. Note that the hernia is lateral to inferior epigastric artery.

Patient has known benign hypertrophy of prostate and a kidney stone.

Because of the patient's poor kidney function, no IV contrast was administered. 

Case Discussion

The bladder has herniated into a right inguinal hernia. The passage was lateral to the right inferior epigastric artery, which classifies it as an indirect inguinal hernia.

After kidney function was restored, he went for surgical repair and the finding was confirmed.

Inguinal herniation of the bladder or scrotal cystocele is a rather uncommon condition, usually an incidental finding among older men. Clinical findings could include problems with micturition such as dysuria, frequency or feeling of lump in the groin area.

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Case information

rID: 51242
Published: 7th Feb 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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