Send to

Choose Destination
BMJ Case Rep. 2017 Mar 8;2017. pii: bcr2017219288. doi: 10.1136/bcr-2017-219288.

Ureteral inguinal hernia: an uncommon trap for general surgeons.

Author information

Department of General Surgery, Eastern Health, Box Hill, Victoria, Australia.
Department of Hepatobiliary, Upper GI and General Surgery, Eastern Health, Box Hill, Victoria, Australia.


Inguinal hernias involving the ureter, a retroperitoneal structure, is an uncommon phenomenon. It can occur with or without obstructive uropathy, the latter posing a trap for the unassuming general surgeon performing a routine inguinal hernia repair. Ureteral inguinal hernia should be included as a differential when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure or urinary tract infection particularly in a male. The present case describes a patient with a known ureteroinguinal hernia who proceeded to having a planned hernia repair and ureteric protection. The case is a reminder that when faced with an unexpected finding such an indirect sliding inguinal hernia, extreme care should be taken to ensure that no structures are inadvertently damaged and that a rare possibility is the entrapment of the ureter in the inguinal canal.

[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for HighWire Icon for PubMed Central
Loading ...
Support Center