Presentation
Presented with colicky pain in bilateral flanks and diffuse scrotal swelling on the left side. Associated with vomiting, nausea, and burning micturition. No history of fever, hematuria, or any surgical intervention in the past.
Patient Data
Axial and coronal reconstructed images of non contrast CT of abdomen show presence of multiple high attenuation non obstructive calculi (Avg HU - 1150 to 1200HU) in bilateral kidneys.
Urinary bladder is minimally distended with bulb of foley's catheter noted in situ. Few (2-3) vesical calculi are noted within.
Herniation of antero-inferior part of the urinary bladder on the left side is seen through the left inguinal canal into the left sided scrotal sac with presence of 2 well defined calculi within the herniated bladder pouch.
Prostatic calcifications.
Case Discussion
Herniation of urinary bladder is a relatively uncommon but not a rare condition. It occurs when the urinary bladder or ureter herniates into the inguinal canal, scrotal sac or femoral canal.
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