Badji Nfally, Deme Hamidou, Akpo Geraud, Toure Mouhamadou, Ndong Boucar, Niang El Hadji
Service de Radiologie Générale, Hôpital Aristide Le Dantect, Dakar,Sénégal.
Pan Afr Med J. 2016 Nov 1;25:126. doi: 10.11604/pamj.2016.25.126.10280. eCollection 2016.
We report the case of a 67-year old patient with a personal history of inguinal hernia, presenting with a large painless bag associated with urinary disorders, similar to pollakiuria, evolving for several months. Ultrasound allowed to reveal an emptiness in the bladder bag, urinary stasis and a collection of fluid in the scrotum, evoking a hydrocele. Abdominal/pelvic CT scan showed right intrascrotal bladder associated with left direct inguinal hernia and bilateral urinary stasis. The diagnosis was confirmed by surgical exploration. The postoperative course was uneventful. Inguinoscrotal hernia containing exclusively urinary bladder is an exceptional entity. CT scan should be recommended for patients with inguinoscrotal hernia associated with urinary disorders (Mery's Sign).
我们报告了一例67岁有腹股沟疝个人史的患者,其出现一个与排尿障碍相关的无痛性大包块,类似尿频,持续数月。超声检查发现膀胱内有空虚、尿潴留以及阴囊内有液体积聚,提示鞘膜积液。腹部/盆腔CT扫描显示右侧阴囊内膀胱伴左侧腹股沟直疝及双侧尿潴留。手术探查确诊了该诊断。术后过程顺利。单纯包含膀胱的腹股沟阴囊疝是一种罕见情况。对于伴有排尿障碍的腹股沟阴囊疝患者(梅里氏征),应推荐进行CT扫描。