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