OBSTRUCTIVE UROPATHY SECONDARY TO MASSIVE INGUINOSCROTAL BLADDER HERNIATION

The bladder is partially involved in 1 to 4% of all inguinal hernias. However, few cases of massive inguinoscrotal herniation of the bladder have been described, all of which have involved unilateral hydronephr osis. We report on a 45-year-old man with incomplete voiding and massi vely enlarged right scrotum along with elevated creatinine who was fou nd to have massive inguinoscrotal herniation. Preoperative computerize d tomography showed bilateral hydronephrosis. Herniorrhaphy was succes sfully done through an inguinal incision. The left kidney regained nor mal function with a decrease in creatinine levels. This case is atypic al because of the presence of massive inguinoscrotal herniation with b ilateral hydronephrosis. Computerized tomography has proved to be a va luable tool in diagnosing such cases. Surgical repair and reduction of hernia can be accomplished through an inguinal incision.