title: A giant inguinoscrotal bladder hernia as a cause of chronic renal failure: A rare case.
abstract: BACKGROUND
  Giant inguinoscrotal bladder hernias are very rare and require surgical intervention. They usually do not cause any specific symptoms and thus, they are often misdiagnosed. If left untreated though, they might lead to severe medical conditions, such as renal failure.
  
  
  METHODS
  We present the case of a 71-year-old male patient suffering from a giant inguinoscrotal mass, accompanied by symptoms of the lower urinary track (LUTS) and chronic renal failure.
  
  
  CONCLUSIONS
  In our case, the patient presented with bladder hernia causing non specific symptoms of renal failure. In contrast to acute renal failure, a chronic renal impairment most often comes with no specific symptoms and thus, it can be present for many years before the diagnosis is made. It is evident that such serious conditions should be suspected and treated.
  
  
  CONCLUSIONS
  Inguinoscrotal bladder hernias may be associated with severe medical conditions, such as renal deterioration, and should be considered in the differential diagnosis of renal failure, when accompanied by any inguinal, scrotal, or low abdominal wall hernia.
authors: Department of Urology, University of Thessaly School of Medicine, Larissa, Greece. Electronic address: adkaratzas@yahoo.gr.
authors: Anastasios
authors: A
authors: Karatzas
authors: Gregory
authors: G
authors: Christodoulidis
authors: Michael
authors: M
authors: Spyridakis
authors: Christos
authors: C
authors: Stavaras
authors: Evangelos
authors: E
authors: Aravantinos
authors: Michael
authors: M
authors: Melekos