We report the case of a patient aged 67 with a history of inguinal hernia, which featured a large painless purse evolving for several months associated with urinary disorders like urinary frequency. Ultrasound allowed highlight an emptiness of bladder lodge, urinary stasis and fluid collection in the scrotum that was mentioned a hydrocele. The abdominal pelvic CT revealed a bladder intra scrotal right situation associated with an inguinal hernia and direct left to bilateral urinary stasis. The diagnosis was confirmed by surgical exploration. The postoperative course was uneventful. The inguinoscrotal hernia exclusively bladder content is an exceptional entity. CT should be sought before any inguinoscrotal hernia associated with urinary disorders ( Mery 's Sign ).

We present a rare case associating inferior vena cava's (IVC) complex variations. Anatomical, embryological and clinical aspects are discussed. Duplication's discovery was fortuitous during an abdominal ultrasound and was confirmed by the CT scan. The latter also highlighted azygos continuation, retro aortic renal vein and an iliac venous anomaly. These variants are important to know in order to be able to differentiate them from lymphadenopathy, para-vertebral masses, and aortic pathologies. It is necessary to report them before any retroperitoneal surgery or interventional vascular procedure.

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