IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Inguinal hernia containing urinary bladder

Case contributed by Chirag Udhani
Diagnosis certain

Presentation

Enlarged scrotum for few years. Notices swelling worse at the end of the working day or with strain.

Patient Data

Age: 80 years
Gender: Male

Large indirect inguinal hernia containing bladder (scrotal cystocele). 

Other findings include: uncomplicated diverticular disease of the colon, umbilical hernia transmitting bowel loops and omentum, enlarged prostate, degenerative changes of both hip joints and calcified left inguinal lymph node. Sacralized L5 vertebra and spondylodegenerative changes.

Case Discussion

Further clinical history taking revealed that the patient actually massages their scrotum to urinate. Management was surgical. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.