Unusual Presentation of an Inguinal Bladder Hernia

Area of Science:

• Urology
• Surgical Case Reports

Background:

• Inguinal bladder hernia (IBH) is a rare condition.
• Diagnosis can be challenging due to asymptomatic or nonspecific presentations.
• Urinary symptoms are common in symptomatic patients.

Observation:

• A patient presented with chest pain and a ground-level fall.
• Incidental scrotal edema was noted in the emergency department.
• The scrotal edema was diagnosed as inguinal bladder herniation.

Findings:

• The patient experienced resolution of chest and abdominal pain with medicinal therapy for IBH.
• Surgery is typically the definitive treatment for IBH.
• This patient opted for medicinal therapy and outpatient follow-up.

Implications:

• This case underscores the importance of recognizing incidental findings in emergency presentations.
• It suggests conservative management may be an option for select IBH cases.
• Further research into non-surgical IBH management could be beneficial.