JOURNAL OF MEDICAL CASE REPORTS Repair of an inguinoscrotal hernia containing the urinary bladder: a case report

Introduction: Cases of patients with inguinoscrotal hernia containing the urinary bladder are very rare. These patients usually present with frequent episodes of urinary tract infection, difficulty in walking, pollakisuria and difficulty in initiating micturition because of incarceration of the urinary bladder into the scrotum. Case presentation: We describe the case of an 80-year-old Caucasian man with an incarcerated urinary bladder into the scrotum who underwent surgical repair with mesh. Conclusions: Diagnosis of such cases often requires not only clinical examination but also specialized radiological examinations to show the ectopic position of the urinary bladder. Surgical repair in these patients is a real challenge for surgeons. Introduction Inguinoscrotal hernia containing the urinary bladder is a highly rare condition, and it is always associated with recurrent episodes of urinary tract infection (UTI). To the best of our knowledge, only a few cases have been reported in the literature to date. We report the case of an 80-year-old Caucasian man who presented to our Emergency Department (ED) with fever and a right direct inguinoscrotal hernia containing the urinary bladder. The patient underwent surgical repair of the hernia with mesh and restoration of the urinary bladder to its normal physical position. Right orchiectomy was also performed. He was discharged in good condition on the sixth post-operative day. Surgical repair of an inguinoscrotal hernia containing the urinary bladder can be achieved with satisfactory results after proper pre-operative preparation of patients.