EC Clinical and Medical Case Reports

Inguinal bladder hernia (IBH), first described as scrotal cystocele by Levine in 1951, remains a rare and challenging diagnosis despite advances in imaging. We report a case of a 55-year-old male with a painful right inguinal mass, urinary frequency, and suprapubic pain. Clinical examination and CT imaging confirmed a right inguinal bladder hernia with strangulation signs. Surgical exploration revealed a herniated bladder diverticulum, successfully reduced and repaired, leading to an uneventful recovery. Preoperative identification of IBH is crucial to prevent iatrogenic injuries. Surgeons, especially those in general surgery and urology, must consider this rare condition during inguinal hernia repairs. Complex cases benefit from interdisciplinary management. This case underscores the importance of thorough diagnostic imaging and collaborative surgical approaches in treating IBH.

 Keywords: Inguinal Bladder Hernia; Scrotal Cystocele; Abdominal Imaging; Herniated Bladder Diverticulum; Urinary Frequency; Hematuria; Suprapubic Pain; Hernial Strangulation; Urology

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