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Chronic obstructive uropathy due to uretero-inguinal hernia: A case report
Andy Chuk Moon Won1, Gerard Testa
1St George and Sutherland Hospitals, Clinical Teaching Unit, Ground Floor, Research & Education Centre, 4-10 South Street, Kogarah, NSW 2217, Australia.
International Journal of Surgery Case Reports
|May 22, 2012
Summary
Uretero-inguinal hernia, a rare condition in men, can lead to chronic kidney impairment. This case highlights the importance of recognizing this association for timely diagnosis and management.
Area of Science:
- Urology
- Surgical Case Reports
Background:
- Inguinal hernias are common in men, but uretero-inguinal hernias are exceptionally rare.
- Uretero-inguinal hernias can be associated with significant urinary symptoms and complications.
Purpose of the Study:
- To report a rare case of uretero-inguinal hernia.
- To discuss the clinical presentation and diagnostic findings of this rare condition.
- To emphasize the potential for renal impairment secondary to uretero-inguinal hernia.
Main Methods:
- Case presentation of an 85-year-old obese male with chronic obstructive uropathy.
- Review of medical history including a 3-year history of bilateral inguinoscrotal herniae and urinary symptoms.
- Diagnostic imaging including renal ultrasound and contrast-enhanced CT scan.
Main Results:
- The patient presented with bilateral enlarged kidneys and hydronephrosis.
- CT scan revealed very large inguinal hernias containing herniated ureters and inferiorly displaced kidneys.
- The case illustrates the anatomical challenges posed by herniated ureters in surgical or endourological procedures.
Conclusions:
- Uretero-inguinal hernia, though rare, can cause chronic renal impairment.
- Two anatomical variations (paraperitoneal and extraperitoneal) have been reported.
- Management can be complicated by the tortuosity of the herniated ureter.
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