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Ureteroinguinal hernia.

Douglas S Katz¹, Wen Young, Elizabeth Yung

¹Department of radiology, Winthrop University Hospital, Mineola, NY 11501, USA. dsk2928@pol.net

Clinical Nuclear Medicine

|August 5, 2003

Summary

A ureteroinguinal hernia was identified in an elderly male patient using Tc-99m MAG3 renal scan and CT scan. This rare condition can cause obstructive uropathy symptoms.

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Area of Science:

Urology
Radiology
Medical Imaging

Background:

Ureteral hernias are uncommon conditions, with ureteroinguinal hernias being the most prevalent type, typically affecting elderly males on the right side.
Patients may present with symptoms of obstructive uropathy or remain asymptomatic.
The case involves an 81-year-old male with a history of transurethral resection of the prostate and suspected urinary tract infection.

Observation:

A ureteroinguinal hernia was visualized in the patient.
Diagnostic imaging modalities used included a technetium-99m mercaptoacetyltriglycine (Tc-99m MAG3) renal scan and computed tomographic (CT) scan.

Findings:

The Tc-99m MAG3 renal scan confirmed the presence of a ureteroinguinal hernia.
The computed tomographic scan also demonstrated the ureteroinguinal hernia.

Implications:

This case highlights the utility of advanced imaging techniques in diagnosing rare urological conditions like ureteroinguinal hernias.
Early diagnosis and management of ureteral hernias are crucial to prevent complications such as obstructive uropathy.
The findings underscore the importance of considering ureteral hernias in the differential diagnosis of elderly patients with urinary symptoms or prior prostate surgery.

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