Beware: the inguinoscrotal hernia with urological origins

Cases of herniated bladder diverticulae causing inguinoscrotal hernias are rare, and there are 19 described in the English literature. We describe the case of a 64-year-old Caucasian man with a huge bladder diverticulum that herniated into his scrotum. The original diagnosis was that of inguinoscrotal hernia containing bowel contents. Radiological investigations revealed a urological cause, and he underwent a successful diverticulectomy. It is important to recognize that inguinoscrotal hernias can have urological origins, 1-4% being the reported figure. Clinical examination can lead to a general surgical diagnosis before further radiological investigations confirm the nature of the hernia. They prove difficult to both diagnose and surgically correct.