Scannographic investigation in the diagnosis of inguinoscrotal bladder hernia

We report the case of a 67-year old patient with a personal history of inguinal hernia, presenting with a large painless bag associated with urinary disorders, similar to pollakiuria, evolving for several months. Ultrasound allowed to reveal an emptiness in the bladder bag, urinary stasis and a coll...

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Bibliographic Details
Published in:The Pan African medical journal 2016, Vol.25, p.126-126
Main Authors: Badji, Nfally, Deme, Hamidou, Akpo, Geraud, Toure, Mouhamadou, Ndong, Boucar, Niang, El Hadji
Format: Article
Language:fre
Subjects:
Aged
Hernia, Inguinal - diagnostic imaging
Hernia, Inguinal - surgery
Humans
Male
Scrotum - diagnostic imaging
Testicular Hydrocele - diagnostic imaging
Tomography, X-Ray Computed - methods
Ultrasonography - methods
Urinary Bladder Diseases - diagnostic imaging
Urinary Bladder Diseases - surgery
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Summary:We report the case of a 67-year old patient with a personal history of inguinal hernia, presenting with a large painless bag associated with urinary disorders, similar to pollakiuria, evolving for several months. Ultrasound allowed to reveal an emptiness in the bladder bag, urinary stasis and a collection of fluid in the scrotum, evoking a hydrocele. Abdominal/pelvic CT scan showed right intrascrotal bladder associated with left direct inguinal hernia and bilateral urinary stasis. The diagnosis was confirmed by surgical exploration. The postoperative course was uneventful. Inguinoscrotal hernia containing exclusively urinary bladder is an exceptional entity. CT scan should be recommended for patients with inguinoscrotal hernia associated with urinary disorders (Mery's Sign).
ISSN:1937-8688
DOI:10.11604/pamj.2016.25.126.10280