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Case 230: Congenital Inguinal Herniation of the Left Ureter (Extraperitoneal Form)

Pierpaolo Di Nicolò1, Daniele Aleo1, Emilio Riccioli1

  • 1From the Nephrology and Dialysis Unit, S. Maria della Scaletta Hospital, Imola, Italy (P.D.N.); Urology Unit, Umberto II Hospital, Siracusa, Italy (D.A.); Radiology Unit, Morgagni Hospital, Catania, Italy (E.R.); and Nephrology and Dialysis Unit, St Giovanni di Dio Hospital, Agrigento, Italy (A.G.).

Radiology
|May 17, 2016
PubMed

Insights

A 52-year-old man with urinary tract infections experienced scrotal swelling. Imaging revealed a left inguinal hernia, a common condition requiring medical attention.

Area of Science:

  • Nephrology
  • Urology
  • Radiology

Background:

  • A 52-year-old male with a history of urinary tract infections (UTIs) and a prior diagnosis of left inguinal hernia presented with new symptoms.
  • The patient reported recent onset of dysuria and progressive swelling in the left inguinoscrotal region.

Observation:

  • Physical examination revealed a palpable left-sided testicular mass, consistent with inguinal hernia or hydrocele.
  • Initial imaging included gray-scale and color Doppler ultrasonography (US) of the testes and inguinoscrotal area.
  • Contrast-enhanced computed tomography (CT) of the lower abdomen and pelvis was performed for further urinary tract evaluation.

Findings:

  • Diagnostic imaging confirmed the presence of a left inguinal hernia.
  • The imaging also provided detailed assessment of the urinary tract.

Implications:

  • This case highlights the importance of comprehensive imaging in patients with inguinoscrotal swelling and a history of UTIs.
  • Accurate diagnosis through ultrasonography and CT is crucial for appropriate management of such conditions.

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