Ureterosciatic hernia with gluteal abscess: A case report
Yusuke Shibata1, Takeshi Ueda1
1Department of Emergency and General Internal Medicine, Rakuwakai Marutamachi Hospital, Kyoto, Japan.
Urology Case Reports
|March 30, 2023
Summary
A rare ureterosciatic hernia caused a gluteal abscess in an elderly woman. Treatment involved ureteral stenting and antibiotics, with no recurrence observed during follow-up.
Area of Science:
- Urology
- Radiology
- General Surgery
Background:
- Ureterosciatic hernia is an uncommon condition where the ureter protrudes through the sciatic foramen.
- Gluteal abscesses can arise from various causes, including infection and urinary tract issues.
Observation:
- A nonagenarian presented with left buttock pain and a palpable mass.
- Imaging revealed a gluteal mass, left ureteral dilation, and pelvic ureteral disconnection.
- Retrograde urography demonstrated left ureteral kinking at the sciatic foramen.
Findings:
- The patient was diagnosed with a ureterosciatic hernia and a gluteal abscess.
- Treatment included ureteral stent placement and antibiotic therapy.
- Abscess and urine cultures were consistent, suggesting urinary leakage as the cause.
Implications:
- This case highlights the importance of considering ureterosciatic hernia in the differential diagnosis of gluteal masses and pain.
- Prompt diagnosis and management, including ureteral stenting, can prevent complications like abscess formation.
- Successful treatment led to symptom resolution and no recurrence, underscoring the efficacy of the chosen interventions.
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