Inguinoscrotal bladder hernia: importance of eliciting a thorough history

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3836 (Published 19 June 2013) Cite this as: BMJ 2013;346:f3836
  1. Jonathan D Gill, specialty trainee year 6 in urology ,
  2. Chandra S Biyani, consultant urologist ,
  3. Anthony J Browning, consultant urologist
  1. 1Department of Urology, Pinderfields General Hospital, Wakefield WF1 4DG, UK
  1. jongill{at}hotmail.com

A 68 year old man presented with a large scrotal swelling, and ultrasound scanning suggested a hydrocele. He was subsequently admitted with renal failure, and computed tomography confirmed an inguinoscrotal bladder hernia with associated bilateral hydronephrosis. Percutaneous bladder drainage was achieved followed by normalisation of renal function. On closer questioning, the patient described a reduction in size of the scrotal swelling after micturition. With an increasing reliance on imaging to reach a diagnosis, the clues are invariably in the history, therefore this remains the most important aspect of the diagnostic investigation. Standard treatment for such hernias is surgical repair (herniorrhaphy).


Cite this as: BMJ 2013;346:f3836


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