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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

1
Department of General Surgery, Eastern Health, Box Hill, Victoria, Australia.
2
Department of Hepatobiliary, Upper GI and General Surgery, Eastern Health, Box Hill, Victoria, Australia.

Abstract

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.

PMID:
28275027
PMCID:
PMC5353493
DOI:
10.1136/bcr-2017-219288
[Indexed for MEDLINE]
Free PMC Article

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