Ureteral inguinal hernia: an uncommon trap for general surgeons
Zarif Yahya1, Yahya Al-Habbal1, Sayed Hassen2
1Department of General Surgery, Eastern Health, Box Hill, Victoria, Australia.
BMJ Case Reports
|March 10, 2017
Summary
Ureteral inguinal hernias are rare but can cause serious urinary issues. Surgeons must consider ureteral entrapment during inguinal hernia repair, especially with unexplained hydronephrosis.
Area of Science:
- Urology
- General Surgery
Background:
- Inguinal hernias are common surgical procedures.
- The ureter, a retroperitoneal structure, can rarely be involved in inguinal hernias.
Observation:
- Ureteral inguinal hernias may present with or without obstructive uropathy.
- This condition can be mistaken for routine inguinal hernias, posing a risk during surgery.
- Concurrent diagnosis of inguinal hernia with unexplained hydronephrosis, renal failure, or UTI in males warrants consideration of ureteral involvement.
Findings:
- A case of a known ureteroinguinal hernia undergoing planned repair and ureteric protection is presented.
- The study highlights the importance of vigilance for ureteral entrapment during inguinal hernia repair.
Implications:
- Ureteral inguinal hernia should be a differential diagnosis in specific clinical scenarios.
- Careful surgical technique is crucial to prevent inadvertent ureteral damage during inguinal hernia repair.
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