Inguinoscrotal bladder hernia: importance of eliciting a thorough historyBMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3836 (Published 19 June 2013) Cite this as: BMJ 2013;346:f3836
- Jonathan D Gill, specialty trainee year 6 in urology ,
- Chandra S Biyani, consultant urologist ,
- Anthony J Browning, consultant urologist
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
Patient consent obtained.