Inguinal bladder hernia (IBH) is a rare condition, representing less than 5 % of all inguinal hernias. We present a case of IBH with bladder calculi and renal impairment, emphasizing the role of ultrasound and CT imaging in diagnosis and management. Through this case, we discussed the clinical features and imaging findings of IBH, and mentioned "second eye ultrasound" in order to improve the understanding of this rare disease and the level of preoperative diagnosis and treatment.

Inguinal bladder hernia

Bladder calculi

Renal impairment

Ultrasound

CT imaging

Case report

© 2025 The Authors. Published by Elsevier Inc.