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. 2011 Jan;52(1):71-3.
doi: 10.4111/kju.2011.52.1.71. Epub 2011 Jan 24.

Incidentally detected inguinoscrotal bladder hernia

Affiliations

Incidentally detected inguinoscrotal bladder hernia

Kwang Hyun Kim et al. Korean J Urol. 2011 Jan.

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.

Keywords: Cystocele; Inguinal hernia; Prostatic hyperplasia; Urinary bladder.

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Conflict of interest statement

The authors have nothing to disclose.

Figures

FIG. 1
FIG. 1
Ultrasonography of the scrotum showed a large cystic mass (>5 cm) (A) and an indefinite connection with the bladder (B).
FIG. 2
FIG. 2
Intraoperative appearance of the herniated bladder (A: right rectus margin, B: herniated bladder, C: symphysis pubis).

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