A 70-year-old man consulted for oligoanuria of 48h duration, and a sudden increase in size of the scrotum. On physical examination he presented an important increase in the volume of the scrotum with skin tension (Fig. 1A).
CT scan (Fig. 1C): Large right inguinal hernia containing the bladder, with an irregular outline compatible with rupture or lesion, and abundant fluid in the sac.
Emergency surgery was performed, that showed a distended bladder herniated in the sac (Fig. 1B). No bladder lesion was found, and a hernioplasty and testicular pexy was performed with a favourable outcome.
Diagnosis: Inguinoscrotal bladder hernia.
Please cite this article as: Jiménez Fuertes M, Costa Navarro D, Illán Riquelme A, Cánovas Ivorra JA. Anuria aguda y hernia inguinoescrotal gigante de crecimiento súbito. Cir Esp. 2013;91:e27–e27.
