PMC3716249_01
Clinical image of a 73-year-old male with dumbbell-shaped urinary bladder in a sliding inguinal hernia. Preoperative picture shows enlargement of the right scrotum
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F1
His hernia was right sided, complete, direct inguinal, irreducible and was with no signs of inflammation [Figure 1].
Conventional radiograph of a 73-year-old male with dumbbell shaped urinary bladder in a right inguinal hernia. Retrograde cystogram shows the bladder being filled with contrast. Part of it is in the pelvis and the rest in the right inguinal hernia which appears like a 'dumbbell' and feeding tube in hernia sac
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F2
The cystogram was diagnostic of bladder herniation [Figure 2].
Macroscopic pathology of a 73-year-old male with urinary bladder in right direct inguinal hernia. Intraoperative picture shows the hernia sac containing urinary bladder
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F3
Urinary bladder formed the contents of the hernia [Figure 3].