[Acute anuria and a giant inguinoscrotal hernia of sudden growth].

A 70-year-old man consulted for oligoanuria of 48 h duration, and a sudden increase in size of the scrotum. On physical examination he presented an important increase in the volume of the scrotum with skin tension (Fig. 1A). CT scan (Fig. 1C): Large right inguinal hernia containing the bladder, with an irregular outline compatible with rupture or lesion, and abundant fluid in the sac. Emergency surgery was performed, that showed a distended bladder herniated in the sac (Fig. 1B). No bladder lesion was found, and a hernioplasty and testicular pexy was performed with a favourable outcome. Diagnosis: Inguinoscrotal bladder hernia. c i r e s p . 2 0 1 3 ; 9 1 ( 5 ) : e 2 7