An atypical post colonoscopy complication: bladder herniation

Colonoscopy is both a diagnostic and therapeutic procedure that allows examination and treatment of the rectum, colon, and the distal portion of the ileum. The risk of serious complications following colonoscopy is usually low. Hernial complications are rare after colonoscopy, and are probably promoted by an increased abdominal pressure and patient’s physical constitution. Inguinal hernia usually includes intestine and not parts of the urinary tract. In literature there no studies reporting cases of bladder herniation after a colonoscopy procedure. We presented a case of an 84-years-old man admitted to our emergency department reporting scrotum edema after a colonoscopy procedure; the abdominal computerized tomography scan showed a bladder herniation through the inguinal canal into the scrotum. The hernia was not manually reducible and required surgical correction.