PMC3980519_01
Preoperative CT left groin hernia with an irregular mass content which grows from the urinary bladder.
gr1.jpg
PMC3980519_01_gr1.jpg
fig0005
The computed tomography (CT) (Fig. 1) showed a left groin hernia with an irregular mass content which grows from the urinary bladder (probably tumor of the bladder wall).
Direct inguinal hernia containing part of the urinary bladder.
gr2.jpg
PMC3980519_01_gr2.jpg
fig0010
The patient underwent open surgery via an inguinal approach; the tumor was palpated in the herniated portion of the bladder (Fig. 2).
Tumor of the urinary bladder wall 8 cm x 5 cm x 5 cm.
gr3.jpg
PMC3980519_01_gr3.jpg
fig0015
Pathologic examination of the specimen reported a tumor of 8 cm x 5 cm x 5 cm (Fig. 3).
Papillary urothelial carcinoma with invasion of 1/3 of muscularis mucosa (T2a).
gr4.jpg
PMC3980519_01_gr4.jpg
fig0020
The microscopic study (Fig. 4) revealed a high-grade carcinoma with necrosis and characteristics of a papillary urothelial carcinoma with invasion of 1/3 of the muscularis propria (T2a).