Ureter as the Content in a Large Inguino Scrotal Hernia: A Diagnostic Dilemma for Unprepared Surgeons

We present a case of a 60-year-old gentleman, who was referred for an inguinal hernia repair. A previous CT scan had reported a right pelvic kidney and the presence of the right ureter in the hernial sac. He had no urinary symptoms and there was no biochemical evidence of compromised renal function. A renogram showed partial obstruction with an equally split function. The findings were discussed in a urological multi-disciplinary team (MDT) meeting. A ureteric stent was advised to assist in the identification of the ureter during the surgery. The patient had intraoperative stenting of the right ureter, followed by successful repair of the hernia. Six weeks later, the stent was removed, and the patient continues to remain well. Follow-up blood results showed normal renal functions.