Inguinal Bladder Hernia: Use of Virtual Computed Tomographic Cystography

Inguinal bladder hernia (IBH) was first described in 1951 as scrotal cystocele. It is an uncommon clinical entity that occurs in approximately 1-4% of inguinal hernias.1 Despite numerous studies, IBH remains a challenge to surgeons and is usually diagnosed at the time of the herniorrhaphy. It has also been associated with the risk of unforeseen complications involving the bladder or ureter.2 The condition does not pose a problem if the bladder is identified and not injured during the surgery. Otherwise, it may result in catastrophic complications due to bladder and ureteral injuries.2 It is therefore important that general surgeons and urologists are aware of the possibility and perform preoperative evaluation and provide optimal treatment.