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Case Reports
. 2013 Mar;38(1):62-4.

Scrotal herniation of bladder: a case report

Ali Hamidi Madani  1 , Hossein Mohammadi Nikouei, Hamidreza Baghani Aval, Ahmad Enshaei, Ahmad Asadollahzade, Samaneh Esmaeili
Affiliations
Case Reports

Scrotal herniation of bladder: a case report

Ali Hamidi Madani et al. Iran J Med Sci. 2013 Mar.

Abstract

Inguinal bladder hernia is a rare clinical condition, with 1-3% of all inguinal hernias involving the bladder. Any portion of the bladder may herniate, from a small portion or a diverticulum to most of the bladder. We present a 55-year-old male with an intermittent right scrotal mass of 6 months' duration. The mass lesion protruded through the right inguinal canal before voiding and reduced after that. Scrotal sonography revealed a hypoechoic lesion in the scrotum that stretched cranially to the intra-abdominal portion of the bladder. Excretory urography showed a duplicated system in the left kidney and deviation of the left orifice to the right side of the trigon. Finally, cystography illustrated herniation of the bladder to the right scrotum. Surgical repair of the hernia was done with mesh. Follow-up cystography one month postoperatively revealed no herniation.

Keywords: Bladder; Inguinal hernia; Scrotal.

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Figures

Figure 1
Figure 1
An intravenous urogram, showing a duplicated system in the left kidney and the fusion of both ureters in the distal portion with deviation of the left orifice to the right side of the trigon.
Figure 2
Figure 2
Cystogram, demonstrating herniation of the bladder to the right scrotum.
Figure 3
Figure 3
Follow-up cystography after surgery, revealing no herniation.
See this image and copyright information in PMC

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