Korean J Urol.  2011 Jan;52(1):71-73.

Incidentally Detected Inguinoscrotal Bladder Hernia

• Kim KH
• Kim MU
• Jeong WJ
• Lee YS
• Kim KH
• Park KK
• Chung MS
• Chung BH
• Lee SH

Abstract

The bladder is involved in less than 4% of inguinal hernias. Inguinoscrotal bladder hernias are difficult to diagnose, and less than 7% are diagnosed preoperatively. Inguinoscrotal bladder hernias are usually asymptomatic. However, they can result in significant complications, such as bladder necrosis or acute renal failure. Accurate diagnosis is crucial to avoid bladder injury during surgery and other complications. Here we report the case of a 64-year-old man who presented with a scrotal mass. Ultrasonography of the scrotal mass showed a nonspecific cystic mass. During surgery, the mass was revealed to be a herniated bladder.

Keyword

Cystocele; Inguinal hernia; Prostatic hyperplasia; Urinary bladder

MeSH Terms

Acute Kidney Injury
Cystocele
Hernia
Hernia, Inguinal
Humans
Middle Aged
Necrosis
Prostatic Hyperplasia
Urinary Bladder

Figure

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  FIG. 1 Ultrasonography of the scrotum showed a large cystic mass (>5 cm) (A) and an indefinite connection with the bladder (B).

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  FIG. 2 Intraoperative appearance of the herniated bladder (A: right rectus margin, B: herniated bladder, C: symphysis pubis).

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