Inguinal hernia containing urinary bladder

Case contributed by Dr Sovann Vathana Lay

Presentation

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

Patient Data

Age: 80 years
Gender: Male
CT

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.

PlayAdd to Share

Case information

rID: 51242
Case created: 7th Feb 2017
Last edited: 30th May 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.