• Abdomen-non trauma
• cardiac care
• diagnosis

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).