Presentation
Recurrent UTI, swelling in the left groin. The patient previously had TURP procedure for benign hypertrophy of the prostate.
Patient Data
Left large indirect inguinal hernia containing an extrusion of the anterior urinary bladder wall with some preperitoneal fat tissue through the inguinal canal inferiorly.
The urinary bladder shows focal wall thickening and laterally at the herniated part.
Thickening of the left distal ureteric wall at the vesicoureteric junction causing back pressure on the left side.
Small kidneys noted consistent with chronic kidney disease and left kidney calculus with mild left hydroureteronephrosis.
A small umbilical hernia with mesenteric fat incidentally noted.
Case Discussion
The patient had the swelling for more than 10 years and recurrent urinary tract infection
Local examination showed left side inguinoscrotal hernia, reducible, non-tender. CT confirmed extrusion of the urinary bladder into the hernia sac.