[Scrotal diverticulum of the urinary bladder -- rare cause of an inguinal hernia].
BACKGROUND
Massive herniation of the bladder through the inguinal canal is a rare entity. We report on a patient with a large inguinoscrotal herniation of the urinary bladder commonly referred as "scrotal cystocele". Diagnostic means and therapeutic strategies are discussed.


METHODS
After laparoscopic repair of a bilateral inguinal hernia, a 60-year-old man described a persistent right groin mass that varied in size with the degree of bladder distension. Diagnostic evaluation revealed a large bladder diverticulum extending into the right scrotum. Treatment consisted of inguinal resection of the bladder diverticulum, the peritoneal sack and closure of the hernia.


CONCLUSIONS
Inguinal herniation of a large bladder diverticulum has to be considered in the differential diagnosis of inguinal hernias, especially in patients with obstructive symptoms of the bladder outlet.
Schuster
F
F
Klinik für Urologie, Städtisches Klinikum Dresden-Friedrichstadt.
Steinbach
F
F
D004240:Diverticulum / Q000000981:diagnostic imaging* / Q000601:surgery; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D019919:Prosthesis Implantation; D012611:Scrotum / Q000000981:diagnostic imaging* / Q000601:surgery; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000000981:diagnostic imaging / Q000601:surgery; D014567:Urography