Massive bladder hernia: ultrasonographic imaging in two cases Academic Article uri icon

abstract

  • An 81-year-old man was admitted to the Urology Department with complaints of a right scrotal swelling and two-stage voiding, initially emptying normally then voiding after manual compression of the hernia. Physical examination revealed a large right scrotal hernia; besides having undergone TURP for BPH his past history was unremarkable. He was referred to the Radiology Department for ultrasonography which detected passage of fluid from the bladder through the right inguinal canal into the scrotum (Fig. 1). The large anechoic mass in the scrotum diminished after micturition. Subsequently he underwent retrograde cystography; when he was upright this showed a right bladder hernia protruding towards the inguinal canal, with a narrow neck and lying in the right scrotum (Fig. 2). He underwent surgery to remove the bladder hernia from the inguinal canal and to repair the …

publication date

  • March 1, 1998