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Int J Urol. 2014 Mar;21(3):338-40. doi: 10.1111/iju.12257. Epub 2013 Aug 29.

Inguinal hernia containing a kidney with a duplicated system: an exceptionally rare case.

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  • 1Department of Urology, Rush Medical College, Chicago, Illinois, USA.


An inguinal hernia is a commonly encountered surgical case, with multiple unusual contents being reported. We present an exceptionally rare case of an inguinal hernia. Computed tomography imaging of the 62-year-old male patient showed a large left inguinal hernia extending into the left scrotum that contained a duplicated left kidney. There was an associated large left hydrocele and incidental non-obstructive nephrolithiasis. Left nephropexy, left orchiectomy, and repair of the incarcerated left inguinal hernia with mesh placement via a preperitoneal (retroperitoneal) approach were performed. The patient was discharged to home on post-operative day 5 and the post-operative course was uneventful. We discuss a possible mechanism for this rare event.

© 2013 The Japanese Urological Association.


hydrocele; inguinal hernia; kidney; perinephric fascia

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