A 44-year-old man is investigated for an intermittent left inguinal swelling and sent for ultrasound investigation which suggested an inguinal hernia. Because of discrepancy with the symptoms, a computed tomography (CT) is performed which reveals a scrotal cystocele.
Scrotal cystocele is the herniation of the urinary bladder through the scrotal sac. Besides being rare1, it can be easily mistaken for an inguinoscrotal hernia.

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