Vesicocutaneous fistula: an unusual complication of inguinoscrotal hernia

Ramaswamy Manikandan1, Yvonne Burke, Shalom Joseph Srirangam

  • 1Department of Urology, Stepping Hill Hospital, Stockport SK2 7JE, United Kingdom. armanikan@aol.com

Involvement of the urinary bladder in an inguinal hernia is common, but massive bladder hernia is rare. Most urinary bladder herniations are discovered and repaired during surgery. We report a case of large incarcerated inguino-scrotal hernia, which was reduced only to present as a scrotal abscess and vesicocutaneous fistula; an unusual complication. The patient was managed conservatively due to underlying comorbidities.