Urinary bladder calculi in a sliding vesical-inguinal-scrotal hernia diagnosed preoperatively by plain abdominal radiography

A sliding inguinal hernia is usually diagnosed during a surgical procedure rather than preoperatively. This report describes a 77-year-old man with a sliding vesicalinguinal-scrotal hernia. The preoperative diagnosis was established by a plain radiograph of the abdomen, which showed bladder calculi within the pelvic cavity and in the right groin area. A review of the literature revealed only 2 prior reported cases of bladder calculi within a vesical-inguinal-scrotal hernia.