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Congenital primary obstructed megaureter presenting as inguinal hernia in an infant

Mohamed Wishahi1

  • 1Urology Department Theodor Bilharz, Research Institute Cairo Egypt.

Clinical Case Reports
|April 15, 2022
PubMed

Insights

A rare ureteral-inguinal hernia in an infant was diagnosed using imaging. The condition involved a dilated ureter due to primary obstructed megaureter, guiding surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Diagnostic Imaging

Background:

  • Inguinal hernias are common in infants.
  • Ureteral-inguinal hernias are rare, presenting diagnostic challenges.
  • Primary obstructed megaureter can lead to ureteral dilation.

Purpose of the Study:

  • To describe a case of ureteral-inguinal hernia in a 4-month-old boy.
  • To illustrate the utility of imaging in diagnosing complex pediatric inguinal hernias.
  • To highlight the etiology and surgical implications of ureteral-inguinal hernia.

Main Methods:

  • Case presentation of a 4-month-old male infant with left inguinal swelling.
  • Diagnostic imaging including ultrasonography and computed tomography (CT).
  • Surgical exploration and management.

Main Results:

  • Physical examination revealed an inguinal hernia.
  • Ultrasonography and CT confirmed the hernia content as a hugely dilated ureter.
  • The etiology was identified as primary obstructed megaureter.

Conclusions:

  • Imaging is crucial for elucidating the contents and etiology of pediatric inguinal hernias.
  • Accurate diagnosis of ureteral-inguinal hernia guides appropriate surgical management.
  • Primary obstructed megaureter is a cause of ureteral-inguinal hernia.

Keywords:
congenitalpediatricsprimary obstructed megaureterureteral‐inguinal hernia

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