| Literature DB >> 26180656 |
Lih En Hong1, Chrismin Tan2, Jordan Li3.
Abstract
Uretero-inguinal hernia in patients with native kidneys is rare. We report a case of an 84-year-old man who was diagnosed with obstructive uropathy secondary to uretero-inguinal hernia, with no past history of herniorrhaphy or congenital genitourinary malformation. Uretero-inguinal hernias are predominantly indirect inguinal hernias and may be paraperitoneal or extraperitoneal. Computed tomography (CT) is a non-invasive diagnostic tool for uretero-inguinal hernia. Herniorrhaphy is indicated in all cases of uretero-inguinal hernia to prevent obstructive uropathy.Entities:
Keywords: Hernia; inguinal hernia; obstructive uropathy; uretero-inguinal
Year: 2015 PMID: 26180656 PMCID: PMC4490576 DOI: 10.4103/2156-7514.159448
Source DB: PubMed Journal: J Clin Imaging Sci ISSN: 2156-5597
Figure 184-year-old man with acute deterioration of renal function in setting of known chronic renal failure diagnosed with obstructive uropathy secondary to uretero-inguinal hernia. (a) Axial image of a non-contrast computed tomography (CT) scan of the abdomen demonstrates the left ureter entering (dashed arrow) and exiting (solid arrow) a left indirect inguinal hernia with a hydronephrotic left kidney. (b) Axial image of a non-contrast CT scan of the abdomen shows a heterogeneous, calcified solid right renal mass (asterisk), diagnosed as a papillary renal cell carcinoma.
Figure 284-year-old man with acute deterioration of renal function in setting of known chronic renal failure diagnosed with obstructive uropathy secondary to uretero-inguinal hernia. Coronal image of a non-contrast CT scan of the abdomen demonstrates the left ureter entering a left indirect inguinal hernia (dashed arrow) and a calcified solid renal mass on the contralateral kidney (asterisk).