Diagnostic scanographique d’une hernie inguino-scrotale de la vessie à propos d’un cas

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).