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. 2012 May 1;2012(5):5.
doi: 10.1093/jscr/2012.5.5.

Massive inguinoscrotal bladder hernia

J Westera  1 , J Meyer  1 , J Reynolds  1 , Al Lambrianides  1
Affiliations

Massive inguinoscrotal bladder hernia

J Westera et al. J Surg Case Rep. .

Abstract

Inguinoscrotal bladder hernias are rare, occurring in 1-4% of all inguinal hernias. Massive inguinoscrotal bladder hernias, where >50% of the bladder is found in the hernia sac are extremely rare. Patients can suffer significant morbidity from such a hernia. These include sepsis, unilateral or bilateral ureteric obstruction, renal failure and strangulation with secondary ischaemia of the bladder wall and bladder rupture. Inguinoscrotal bladder hernias are most commonly diagnosed at the time of surgery. This may lead to significant complications for the patient, particularly if undetected during surgery.

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Figures

Fig. 1
Fig. 1
T2 weighted image showing large fluid attenuated right scrotal mass, exerting mass effect on the right testicle
Fig. 2
Fig. 2
Bladder herniation (BH) with hernia sac, accompanied with vas deferens (Large arrow) and spermatic cord (Small arrow)
See this image and copyright information in PMC

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