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When the ureter slips: A rare case of ectopic uretero-inguinal hernia and its clinical implications
Vikram Prabha1, Sanhitha Purushotham1
1Department of Urology, KLES Dr. Prabhakar Kore Hospital & MRC, Belagavi, 590010, India.
Insights
A rare congenital anomaly involving a duplex renal collecting system and ectopic ureter caused inguinal swelling and recurrent epididymitis in a 61-year-old male. Laparoscopic surgery successfully treated this complex urinary tract issue.
Area of Science:
- Urology
- Congenital Anomalies
- Surgical Case Reports
Background:
- Duplex renal collecting systems and ectopic ureters are uncommon congenital urinary tract abnormalities.
- These anomalies can present with varied and sometimes non-specific symptoms, complicating diagnosis.
Abstract:
Congenital anomalies like duplex renal collecting systems and ectopic ureters are rare. We report a unique case of a 61-year-old male presenting with left inguinal swelling, recurrent epididymo-orchitis, and LUTS. CT revealed a duplex collecting system with an ectopic ureter containing multiple calculi, terminating in the left inguinal region. The patient underwent laparoscopic ectopic ureterectomy and inguinal hernia repair. This case highlights the rare presentation of a uretero-inguinal hernia with an ectopic ureter containing multiple calculi inserting into the epididymis as its content. Laparoscopic management proved effective in treating this complex congenital urinary tract anomaly.
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