Paraperitoneal herniation of the ureter
Bhamidipaty Kanaka Durgaprasad1, Kompalli J S S Raghu Teja2, NagaMalleswara Rao Jannu3
1Department of Radiodiagnosis, GIMSR, Visakhapatnam, Andhra Pradesh, India.
Radiology Case Reports
|September 15, 2021
Summary
Ureteral herniation into the scrotum is a rare condition often linked to other abnormalities. Early diagnosis via imaging like ultrasound is crucial to prevent surgical complications.
Area of Science:
- Urology
- Radiology
- Surgical Anatomy
Background:
- Ureteral herniation into the scrotum is an uncommon condition.
- It is frequently associated with congenital anomalies or post-surgical anatomical alterations.
- A high index of suspicion is necessary to prevent intraoperative ureteral injuries.
Observation:
- A 50-year-old male presented with acute left flank pain and a history of recurrent urinary tract infections.
- He had a known ureteral herniation into an inguinoscrotal hernia.
- Contrast-enhanced computed tomographic (CT) evaluation demonstrated the left ureter extending from the pelvis into the scrotum via the inguinal canal.
Findings:
- Screening ultrasound of the scrotum confirmed the intrascrotal extension of the ureter.
- The condition was diagnosed as a Paraperitoneal inguinal herniation of the ureter.
- Ultrasound provided detailed anatomical information, confirming the herniated ureter.
Implications:
- This case highlights the importance of considering ureteral herniation in patients with inguinoscrotal hernias and urinary symptoms.
- Cross-sectional imaging, particularly ultrasound, is effective in diagnosing ureteral herniation.
- Accurate diagnosis can prevent inadvertent ureteral injury during surgical repair of hernias.
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