Urinary bladder hernia and calculi

Case contributed by Dr Amr Farouk

Presentation

63 years old patient presented with hematuria

Patient Data

Age: 65 years old
Gender: Male

Three oval shaped radiodense calculi are seen within the urinary bladder along its right posterolateral aspect, the largest is measuring about 9 X 7mm and reading a mean attenuation 490 HU. On prone position the radiodense calculi are mobile seen falling into the right inguinal herniating urinary bladder.

Left inguinal hernia containing omentum.

The prostate is enlarged measures 5.5 x 6.8 x 5.5 cm showing heterogeneous texture with few calciifc foci within.      

Case Discussion

Pointing of bladder towards the side of hernia, i.e. angulation of bladder base anteroinferiorly, is the CT sign of bladder herniation. Prone position can enhance its visualization.

CT picture of right inguinal urinary bladder hernia and urinary bladder calculi.

 

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Case information

rID: 43050
Case created: 20th Feb 2016
Last edited: 6th Jun 2017
System: Urogenital
Inclusion in quiz mode: Included

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