A 43 year old man with dysuria and frequency

 

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Doctor's Information

Name : Morteza
Family :Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree:Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Farhad Niaghi

 

Patient's Information

Gender : Male
Age : 43

 

Case Section

Uroradiology & Genital Male Imaging

 

Clinical Summary

A 43 year old man with dysuria and frequency.

 

 

Imaging Procedures and Findings

Expansion of left inguinal canal and protrusion of bladder through inguinal canal are noted. The hernia is medial to the inferior epigastric vessels.

 

Discussion

Inguinal hernias are either indirect or direct, depending on their relationship to the inferior epigastric vessels. In patients with an indirect hernia, the peritoneal sac passes down the course of the inguinal canal anterior to the spermatic cord and lateral to the inferior epigastric vessels. In women, the hernia sac follows the course of the round ligament into the labium. The sac usually contains omentum and small bowel and, occasionally, ascites. A direct hernia is almost always acquired rather than congenital. The neck of the hernia is medial to the inferior epigastric vessels and generally does not traverse the inguinal canal. Bowel strangulation is seldom a complication because of the blunt and diffuse character of the protrusion. CT and MRI define the relationship of the inferior epigastric vessels to the hernia sac.

 

Final Diagnosis

Inguinal herniation of bladder

 

References

CT and MR imaging of the whole body / [edited by] John R. Haaga ... et al.].-5th ed p.1292-1293

 

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