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UROLOGICAL IMAGES
Year : 2017  |  Volume : 33  |  Issue : 2  |  Page : 173-174
 

“Flying-saucer in the pelvis” sign: An equivalent of “pelvic Mickey mouse” sign


Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India

Date of Submission09-Nov-2016
Date of Acceptance05-Dec-2016
Date of Web Publication30-Mar-2017

Correspondence Address:
Onkar Singh
Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.203423

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   Abstract 


Isolated bilateral inguinal vesical hernia with urinary bladder as the only content is very rare. “Pelvic Mickey mouse” sign is a radiological sign described classically for bilateral inguinal vesical hernia on transverse axial imaging. Another imaging finding of a “Flying-saucer in the pelvis” sign seen on conventional intravenous urography is being presented.



How to cite this article:
Singh O, Kekre NS. “Flying-saucer in the pelvis” sign: An equivalent of “pelvic Mickey mouse” sign. Indian J Urol 2017;33:173-4

How to cite this URL:
Singh O, Kekre NS. “Flying-saucer in the pelvis” sign: An equivalent of “pelvic Mickey mouse” sign. Indian J Urol [serial online] 2017 [cited 2019 Sep 15];33:173-4. Available from: http://www.indianjurol.com/text.asp?2017/33/2/173/203423





   Introduction Top


An inguinal hernia with urinary bladder as its only content is extremely rare. A bilateral inguinal vesical hernia is even a rarer finding. Bilateral inguinal vesical hernia can be seen on axial imaging as a “pelvic Mickey mouse” sign. However, this case reports an imaging finding of bilateral inguinal vesical hernia on conventional excretory urography (EU), which is being described for the first time as a “Flying-saucer in the pelvis” sign.


   Case Report Top


A 51-year-old man was incidentally detected to have left renal calculi during evaluation of choledocholithiasis. He had no urinary symptoms or flank pain. An EU revealed a peculiar shape of the urinary bladder [Figure 1]a that resembled the shape of a flying saucer [Figure 1]b. Magnetic resonance imaging that was done for workup of choledocholithiasis was reviewed. Bilateral inguinal hernia was noted with anterior wall of bladder as the only content [Figure 1]c and [Figure 1]d.
Figure 1: Imaging findings of a case of bilateral inguinal vesical hernia. (a) Conventional excretory urography bladder film, showing a peculiar flying-saucer shaped urinary bladder. (b) Artistic representation of a flying-saucer. Coronal (c) and axial (d) views of magnetic resonance imaging showing bilateral inguinal vesical hernia (arrows) and characteristic “pelvic Mickey mouse” sign

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   Discussion Top


The urinary bladder is involved in 1%–4% of all inguinal hernias.[1] Bilateral involvement, especially with bladder as the only content, is extremely rare. Only two similar cases have been described.[2],[3] Bilateral inguinal vesical hernias can be seen on transverse axial imaging as “pelvic Mickey mouse” sign [Figure 1]d. However, this entity may produce a “Flying-saucer in the pelvis” sign on anteroposterior images of any contrast imaging study including conventional EU. This particular radiologic finding has not been described before.

Inguinal vesical hernias are usually asymptomatic and do not need intervention.[4] Larger hernias may cause urinary symptoms and/or intermittent groin swelling. “Flying-saucer in the pelvis” sign being described for the first time on conventional EU suggests the diagnosis of bilateral vesical inguinal hernia.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Curry NS. Hernias of the urinary tract. In: Pollack HM, McClennan BL, editors. Clinical Urography. 3rd ed. Philadelphia, PA: Saunders; 2000. p. 2981-91.  Back to cited text no. 1
    
2.
Indiran V. Bilateral inguinal hernia containing urinary bladder as sole content with “Pelvic Mickey Mouse Sign”. Urology 2016;90:e5-6.  Back to cited text no. 2
    
3.
Sagar A, Sabharwal S, Kekre NS. Bilateral vesical inguinal hernia: A perineal 'Mickey mouse'. Indian J Urol 2013;29:154-5.  Back to cited text no. 3
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4.
Bacigalupo LE, Bertolotto M, Barbiera F, Pavlica P, Lagalla R, Mucelli RS, et al. Imaging of urinary bladder hernias. AJR Am J Roentgenol 2005;184:546-51.  Back to cited text no. 4
    


    Figures

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