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Massive inguinal hernia causing acute renal failure

Bladder is a common asymptomatic content of inguinal hernias, with a 4% incidence in one reported series. 1 However, there is usually only a small part of the bladder involved. Subtotal or total bladder herniation is a much rarer finding. In the literature there have only been five such cases causing bilateral hydroureteronephrosis. 2 The authors would like to document the sixth such case. This case is further complicated by the large bladder hernia causing displacement, elongation and obstruction of the prostatic urethra, such that catheterization of the bladder was difficult. While this case presents unique features in the diagnosis and management, the final treatment is surgical repair of the hernia.