Presentation
Hematuria
Patient Data
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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