We report the case of a patient aged 67 with a history of inguinal hernia, which featured a large painless purse evolving for several months associated with urinary disorders like urinary frequency. Ultrasound allowed highlight an emptiness of bladder lodge, urinary stasis and fluid collection in the scrotum that was mentioned a hydrocele. The abdominal pelvic CT revealed a bladder intra scrotal right situation associated with an inguinal hernia and direct left to bilateral urinary stasis. The diagnosis was confirmed by surgical exploration. The postoperative course was uneventful. The inguinoscrotal hernia exclusively bladder content is an exceptional entity. CT should be sought before any inguinoscrotal hernia associated with urinary disorders ( Mery 's Sign ).
We report the case of a 67-year old patient with a personal history of inguinal hernia, presenting with a large painless bag associated with urinary disorders, similar to pollakiuria, evolving for several months. Ultrasound allowed to reveal an emptiness in the bladder bag, urinary stasis and a collection of fluid in the scrotum, evoking a hydrocele. Abdominal/pelvic CT scan showed right intrascrotal bladder associated with left direct inguinal hernia and bilateral urinary stasis. The diagnosis was confirmed by surgical exploration. The postoperative course was uneventful. Inguinoscrotal hernia containing exclusively urinary bladder is an exceptional entity. CT scan should be recommended for patients with inguinoscrotal hernia associated with urinary disorders (Mery's Sign).
Key words: Bladder, inguinoscrotal hernia, CT scan