EC Clinical and Medical Case Reports

Inguinal bladder hernia is an uncommon condition, accounting for only 1 - 4% of all inguinal hernias, and is frequently painless, slow-growing, and underreported by patients. We report the case of a 58-year-old man with no relevant past medical history who presented with acute epigastric pain suggestive of pancreatitis. Contrast-enhanced CT confirmed mild acute pancreatitis and inciden- tally established the diagnosis of a large right inguinoscrotal bladder hernia, corresponding to a longstanding, painless swelling that the patient had never reported. This case illustrates the value of systematic review of the entire imaging volume and highlights how even sizeable bladder hernias may go clinically unrecognized until incidentally confirmed on imaging performed for an unrelated condition.

Keywords: Inguinal Bladder Hernia; Hydrocele; Incidental Finding; Computed Tomography; Pancreatitis; Scrotal Mass

1. Elkbuli A., et al. “Inguinal bladder hernia: a case report and literature review”. International Journal of Surgery Case Reports 58 (2019): 208-211.
2. Tian S., et al. “Laparoscopic repair of a recurrent, huge, inguinoscrotal vesicoureteral hernia: a case report and review of the literature”. Frontiers in Surgery 12 (2025): 1664253.
3. Mohan A and Srinivasan K. “Scrotal cystocele in a sliding left inguinoscrotal hernia: a case report and review of literature”. Euroasian Journal of Hepato-Gastroenterology 1 (2017): 87-88.
4. Hamidi Madani A., et al. “Scrotal herniation of bladder: a case report”. Iranian Journal of Medical Sciences 1 (2013): 62-64.
5. Chandak P., et al. “A rare case of an irreducible inguinoscrotal hernia (scrotal cystocele) with a left vaginal hydrocele: a case report”. Cureus 9 (2024): e69413.
6. Neff T and Amicone C. “A rare case of giant inguinoscrotal bladder hernia as a cause of acute respiratory distress syndrome”. Cureus2 (2025): e79518.
7. Ecer G and Baytok A. “Incidentally detected inguinoscrotal bladder hernia”. Journal of Ultrasound (2025).