Chronic dialysis dependent renal failure resulting from a ma
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Inguinal hernias are the most common form of abdominal wall hernias. Typical contents include abdominal fat and bowel. Inguinal hernias with bladder involvement are relatively rare entities. Several cases have been previously reported with obstructive uropathy. We present a rare case of a bladder containing inguinal hernia resulting in chronic dialysis dependent renal failure, which we believe is the first reported case of its kind. A 59-year-old male presented to the emergency room in a hypertensive crisis, complaining of dizziness, with a blood pressure of 240/120. He also related lower urinary tract symptoms to difficulty in initiating urination and incomplete bladder emptying. He stated that there has been slow gradual enlargement of a right inguinal mass over the past year. Physical examination revealed the large right inguinal hernia. Laboratory evaluation was remarkable for BUN/Creat. of 51/7. and Hgb/Hct of 10.2/31. A CT scan of the abdomen and pelvis showed bilateral hydronephrosis, the right greater than the left, a large right inguinal containing bladder and narrowing of bilateral dilated ureters entering the inguinal canal.

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