A giant inguinoscrotal bladder hernia as a cause of chronic renal failure: A rare case

Abstract

Introduction: Giant inguinoscrotal bladder hernias are very rare and require surgical intervention. They usually do not cause any specific symptoms and thus, they are often misdiagnosed. If left untreated though, they might lead to severe medical conditions, such as renal failure.

Presentation of case: We present the case of a 71-year-old male patient suffering from a giant inguinoscrotal mass, accompanied by symptoms of the lower urinary track (LUTS) and chronic renal failure.

Discussion: In our case, the patient presented with bladder hernia causing non specific symptoms of renal failure. In contrast to acute renal failure, a chronic renal impairment most often comes with no specific symptoms and thus, it can be present for many years before the diagnosis is made. It is evident that such serious conditions should be suspected and treated.

Conclusion: Inguinoscrotal bladder hernias may be associated with severe medical conditions, such as renal deterioration, and should be considered in the differential diagnosis of renal failure, when accompanied by any inguinal, scrotal, or low abdominal wall hernia.

Fig. 1

Ultrasound of the sliding bladder into the scrotum (B).

Fig. 2

Abdominal and scrotal CT: clear visualization of the giant inguinoscrotal bladder hernia (B), with the dilated left ureter (U) and left renal kidney (K).

Fig. 3

Surgical exploration of the left groin: clear visualization of the bladder. (B): Bladder, (T): left testicle.