Obstructive uropathy secondary to bilateral ureteroinguinoscrotal herniation

Feyisetan, Oladapo; Floyd, Michael S.; Samsudin, Azi

doi:10.1590/s1677-5538.ibju.2015.0006

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Feyisetan et al [ 1 ] reported a case of obstructive uropathy secondary to bilateral ureteroinguinoscrotal herniation, in which a 55-year-old man with left ventricular dysfunction presented with acute renal failure. Retrograde studies demonstrated bilateral elongated, tortuous ureters which extended below the bladder initially on fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…The ureter was carefully isolated and placed back into the retroperitoneum and the hernia was repaired. In other cases in which the ureters or the bladder were involved in the hernia, the management included conservative measures [ 2 , 4 ], repair of the hernia [ 6 , 9 ] or insertion of ureteric stent or nephrostomy [ 1 ], as was the case for our patient.…”

Section: Discussionmentioning

confidence: 99%

“…Ureteral inguinal hernias are a well-documented cause of obstructive uropathy [ 1 – 6 ] with over 100 cases documented since 1880 [ 2 ]. These can be categorized as paraperitoneal, or extraperitoneal [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Inguinal hernia causing extrinsic compression of bilateral ureters leading to chronic obstructive uropathy

Grice

Nkwam

2018

Journal of Surgical Case Reports

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Ureteral inguinal hernias are a well-documented cause of obstructive uropathy with ureteric involvement in the hernia sac. In this unique case, the left-sided inguinal hernia causes extrinsic compression of bilateral ureters outside of the hernia sac leading to chronic obstructive uropathy, which is demonstrated on non-contrast CT and cystogram. This patient was managed with nephrostomy and subsequently antegrade stenting with nephrostomy removal. Prior to nephrostomy removal, nephrostogram demonstrated tapering of the left ureter in the pelvis. The patient’s renal function continues to improve and is awaiting repair if his inguinal hernia after which he will have his ureteric stent removed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Inguinal hernia causing extrinsic compression of bilateral ureters leading to chronic obstructive uropathy

Grice

Nkwam

2018

Journal of Surgical Case Reports

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“…Temporizing measures to prevent or treat obstructive uropathy should be performed, which often includes retrograde ureteric stent placement. At times the tortuosity of the ureter precludes standard stent placement and other means for ureteral drainage may be required, including angiocatheters or standard nephrostomy tubes [ 1 , 8 , 11 ]. In our case, a standard retrograde ureteric stent was placed despite the obvious tortuosity of the ureter.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of an Inguinal Hernia-Containing (Extraperitoneal) Ureter

et al. 2021

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Patient: Male, 67-year-old Final Diagnosis: Extraperitoneal ureteroinguinal hernia Symptoms: Fever • inguinal hernia • urinary frequency Medication: — Clinical Procedure: Hernioplasty • ureteral stent implantation Specialty: Surgery • Urology Objective: Rare disease Background: Ureteroinguinal hernias are exceptionally rare and are seldom diagnosed in the preoperative setting. There are 2 classifications of this type of hernia: paraperitoneal and extraperitoneal. Case Report: We report a case of a 67-year-old man who presented with urinary symptoms and a reducible right inguinal hernia. A computed tomography (CT) scan of the abdomen and pelvis suggested an ureteroinguinal hernia. Further diagnostics and treatment via cystoscopy, retrograde pyelogram, and right ureteral stent placement were performed, confirming the diagnosis and providing relief of the obstructive uropathy. The patient underwent an attempted elective transabdominal preperitoneal repair that was converted to an open Lichtenstein repair. Intraoperatively, an extraperitoneal ureteroinguinal hernia was identified. The patient did well postoperatively, and the stent was removed 1 month later. Conclusions: Only 20% of the ureteroinguinal hernias described in the literature are extraperitoneal. In our case presentation, we demonstrated successful identification and treatment of an extraperitoneal ureteroinguinal hernia. The diagnosis was made using a combination of the clinical presentation, CT of the abdomen and pelvis, and cystoscopy with retrograde pyelogram. The extraperitoneal classification was an intraoperative diagnosis. The treatment consisted of a temporizing ureter stent and definitive management with an open Lichtenstein repair. We recommend obtaining a CT scan when a patient presents with a combination of urinary symptoms and an inguinal hernia because this process was invaluable in our preoperative diagnosis. Stent placement at the time of diagnosis permitted an elective repair and aided in the identification of the ureter during the hernia repair.

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