Emerg Med J 27:489 doi:10.1136/emj.2009.074195
  • Images in emergency medicine

Urinary bladder hernia: an unusual presentation of abdominal pain

  1. W-J Lee
  1. Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Department of Emergency Medicine, Chi-Mei Medical Center, 901 Chung-Hua Road, Yung-Kang City, Tainan 710, Taiwan; saab931103{at}
  • Accepted 22 February 2009
  • Published Online First 1 April 2010

A 70-year-old man with a history of end-stage renal disease under regular haemodialysis is presented to the emergency department with intermittent abdominal cramping pain for 1 day. Physical examination revealed an irreducible palpable mass over the right inguinal region. Laboratory and x ray results were not contributory. A CT of the abdomen was performed and disclosed a right inguinal sac with urinary bladder herniation (figure 1).

Figure 1

A hernial sac …

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