A Rare Case of Inguinal Hernia with Complete Bladder Herniation

Table 1

Case timeline.

Past medical history—benign prostatic hypertrophy and hypertension.
The left-sided inguinal hernia was first diagnosed on 11 October 2016. The patient was put under watchful waiting as he was asymptomatic. A routine blood test by the general practitioner in February 2017 showed severely compromised renal function compared with baseline which prompted a referral to the emergency department for further evaluation.
Current illness	Left-sided groin pain and two-stage urination	9/2/17
	Left-sided inguinoscrotal hernia and renal failure
Physical examination	Large left-sided inguinoscrotal hernia with minimal tenderness. Abdomen soft and nontender. Bowel sounds normal	9/2/17
Diagnostic evaluation	Blood tests (see text)	9/2/17
	CT scan (Figures 1 and 2)
	Renal ultrasound (Figure 3)
Diagnosis	Large left-sided inguinoscrotal hernia with bladder herniation and bilateral hydronephrosis	9/2/17
Initial treatment	Intravenous fluids, analgesia, fluid balance, and renal physician input	9/2/17–12/2/17
Final treatment	Surgical repair of hernia by the Lichtenstein technique	13/2/17
Follow-up	Renal ultrasound 6 weeks postoperatively showing resolution of hydronephrosis	25/4/17