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Inguinal ureter herniation evaluated with magnetic resonance imaging: a case report
Matteo Renzulli1, Guido Marzocchi1, Giulio Vara2
1Radiology Unit, Department of Experimental, Diagnostic and Speciality Medicine, Sant'Orsola Hospital, University of Bologna, Bologna, Italy.
Journal of Medical Case Reports
|October 28, 2020
Summary
Herniation of the ureter into the inguinal canal, a rare condition, can result from acquired kidney ptosis (nephroptosis). This case highlights the importance of urinary tract evaluation in patients with inguinal hernias.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Herniation of the ureter into the inguinal canal is a rare and likely underreported condition.
- Acquired nephroptosis (kidney ptosis) is a potential cause of ureteral herniation.
Observation:
- Presents a case of an 86-year-old male with a herniated ureter.
- The condition was likely caused by acquired nephroptosis and presented with acute urinary retention.
- Magnetic resonance imaging (MRI) was used for documentation, marking a novel approach.
Findings:
- The Fast Imaging Employing Steady State Acquisition (FIESTA) sequence on MRI enabled comprehensive urinary tract evaluation.
- This MRI technique is particularly useful in patients with renal dysfunction, where contrast agents are contraindicated.
Implications:
- Highlights the need for thorough urinary tract assessment in patients diagnosed with ureteral herniation or inguinal hernias.
- Suggests MRI FIESTA sequence as a valuable tool for evaluating the urinary tract, especially in compromised renal function.
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