Bilateral vesical inguinal hernia: A perineal ‘Mickey mouse’
A 50-year-old gentleman presented with dull right flank pain since three months. There was no hematuria, weight loss or lower urinary tract symptoms (LUTS). Physical examination was unremarkable. Contrast enhanced computed tomogram (CECT) revealed a right interpolar hypervascular renal mass suggestive of renal cell carcinoma.\nThe CECT incidentally picked up bilateral inguinal hernias with bladder protruding anteroinferiorly on both sides. The herniating bladder was seen as a fluid-filled structure contiguous with the rest of the bladder bilaterally, which was easily demonstrated on the axial images [] with further confirmation of the same on reformatted sagittal and coronal sections []. There was no evidence of bowel or any other structure in the hernia. This gave the appearance of a ‘Mickey mouse’, with the bladder protrusion into bilateral hernias mimicking its ears and rest of the bladder resembling its face.