Ureter herniation in urgent inguinoscrotal hernia repair: An uncommon situation
Ureteral herniation is a rare presentation in inguinal hernias, often underdiagnosed because of its asymptomatic course. Therefore, ureteral herniation can represent a trap for the surgeon who encounters one in a large fatty hernia.
Conclusion Inguinal herniation of the transplant ureter leading to ureteral obstruction is a rare, probably underreported, cause graft of dysfunction. Therefore, we advocate elective repair of inguinal or incisional hernias in renal transplant recipients. PMID: 31690216 [PubMed - as supplied by publisher]
Publication date: Available online 7 October 2019Source: Urology Case ReportsAuthor(s): Joshua Winston, James Salinas, Fadi NuwayhidAbstract:Inguinal hernias involving the ureter or inguino-scrotal ureters are a rare and infrequently described finding with both clinical and surgical consequence. While the majority are asymptomatic and rarely cause obstructive uropathy our case aptly highlights the risk to a general surgeon prior to an elective hernia repair. A review of the literature outlines a systematic approach of investigation if clinical suspicion of an inguino-scrotal ureter is raised, with careful operative plannin...
We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. Afte...
Abstract Hernias of pelvic floor are very rare condition, and herniations of ureter into sciatic foramen are extremely rare condition which is globally reported only by 32 cases. Clinical aspects of ureterosciatic hernias appeared variously according to the degree of hydronephrosis, inflammation and infection of kidney due to ureter obstruction. Herein, we report our experience of laparoscopic repair in a patient with ureterosciatic hernia combined urosepsis. PMID: 30882165 [PubMed - as supplied by publisher]
CONCLUSIONMany ureteral inguinal hernias reported in the literature have been on renal transplant patients, while rarely on native kidneys. This case suggests no inguinal hernia repair is routine. Awareness of this anomaly is important, to avoid ureteral injury during herniorrhaphy.
Ureteroinguinal herniation is a rare event, usually diagnosed during the surgical repair of inguinal hernias. Here, we describe the first case of a kidney blow out due to this condition in a male infant.Urol Int
We report the case of a 71-year-old man who presented with a left hemiscrotal swelling and ipsilateral hydronephrosis. Following investigations, he was found to have a sliding inguinal hernia involving the left ureter. His left inguinal hernia was repaired electively and without complication. Follow-up imaging revealed resolution of the hydronephrosis and a more conventional course of the left ureter. PMID: 26741680 [PubMed - as supplied by publisher]
CONCLUSION Pre-operative diagnosis by CT can prevent injury to the ureter. We hypothesize that anterior displacement of the ureter at the level of L4 as seen on CT may be predictive of inguinoscrotal herniation of the ureter.
Conclusion A herniated ureter is potentially a source of serious renal or ureteral complications. When discovered, ureteric hernias should be surgically repaired. If preoperative detection of a ureter herniation alongside an inguinal hernia is missed, awareness of the existence of this condition may help avoid iatrogenic ureteral damage injury during a complex hernioplasty. Documentation of unexplained, sizeable and distinct calcifications in an inguino-scrotal hernia sac, particularly in a patient with a history of urolithiasis, may suggest the presence of a herniated, calculus-filled ureter. In such cases, retr...
Conclusions For complex incisional hernias in KTRs, TAR is associated with low perioperative morbidity and durable repair.