Diagnostic scanographique d�une hernie inguino-scrotale de la vessie � propos d�un cas

Abstract

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 ).

Inguinal hernia with complete urinary bladder herniation: a case report and review of the literature

“…A correct preoperative diagnosis may be helpful to avoid iatrogenic bladder injury. CT scan should be recommended for patients with inguinoscrotal hernia associated with urinary disorders (Mery’ s sign) [10]. A CT scan of the case presented above was sufficient to make a prompt diagnosis.…”

Acute abdomen revealing giant inguinoscrotal bladder hernia

“…In addition to RUC, ultrasound and CT scans can be used to make the diagnosis and identify favorable factors or complications. 3 In our case, the CT scan was indicated in view of the atypical symptomatology and the emergency situation.…”