Bladder cancer in an inguinal vesical hernia

A 60-year-old male patient presented with intermittent right-sided scrotal swelling for the last 4 months. On ultrasonography, a fluid-filled cavity extending through the right inguinal canal into the scrotum was noted with inferior displacement of the right testis. Multiple papillary hyperechoic lesions with internal vascularity on Doppler ultrasound were protruding into the fluid-filled cavity. Computed tomography showed herniation of the bladder through the right inguinal canal into the scrotum with mural components in the herniated segment. Hernioplasty followed by transurethral tumor resection showed urothelial carcinoma with invasion into the muscular layer. Vesical herniation through the inguinal canal is uncommon. Additionally, the presence of bladder carcinoma within a herniated portion of the bladder is exceedingly rare.

Journal of medical ultrasonics (2001). 2017 Dec 18 [Epub ahead of print]

Sedat Giray Kandemirli, Atilla Suleyman Dikici, Fuat Nurili, Onur Tutar, Yildiz Orman Mujgan, Ismail Mihmanli, Fatih Kantarci

Department of Radiology, Istanbul University Cerrahpasa Medical Faculty, Fatih, 34098, Istanbul, Turkey. ., Department of Radiology, Istanbul University Cerrahpasa Medical Faculty, Fatih, 34098, Istanbul, Turkey., Department of Radiology, Yedikule Holy Savior Armenian Hospital Foundation, Istanbul, Turkey.