An unusual inguinoscrotal hernia with renal involvement.

We present a case of a 74-year-old man who, while in intensive treatment unit for an upper gastrointestinal bleed, decompensated cardiac failure and concurrent pneumonia, was found to have a large right hydronephrotic pelvic kidney and bladder within the hernia. After discharge, he was medically optimised for 7 months before undergoing an elective open mesh repair of his hernia. During the procedure, drainage of a large hydrocoele was performed to facilitate reduction of the hernia.

Native acetabular version: 3D CT analysis of the psoas valley.

Insufficient version has been demonstrated to be a significant factor in increasing metal-on-metal cup wear. Another implication is the impingement of the psoas tendon at the anatomical depression on the anterior acetabular rim, called the psoas valley. It is not known whether the psoas valley has any anatomical significance when measuring native version.