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[A rare cause of ureterohydronephrosis]
J Zimberger1, J C Hoeffel, B Pocard
1Service de chirurgie, Hôpital Bel Air, Thionville.
Journal De Chirurgie
|January 1, 1992
Summary
A rare case of left ureterohydronephrosis caused by internal hernia of bowel loops in the pelvic region was successfully treated with surgery. Postoperative recovery included temporary renal insufficiency.
Area of Science:
- Urology
- Surgical Gastroenterology
- Radiology
Background:
- Pelvic hernias are uncommon conditions that can lead to complex urological complications.
- Internal hernias, particularly those involving the pouch of Douglas, present diagnostic challenges.
Observation:
- A unique case of left ureterohydronephrosis was identified.
- Computed tomography (CT) clearly visualized a cluster of bowel loops trapped within the pouch of Douglas as the cause.
Findings:
- Surgical intervention successfully resolved the ureterohydronephrosis and relieved the obstruction.
- The patient experienced transient, regressive renal insufficiency following the surgical procedure.
Implications:
- This case highlights the importance of considering internal pelvic hernias in the differential diagnosis of ureterohydronephrosis.
- Prompt surgical management is crucial for favorable outcomes in such rare anatomical anomalies.