An 87-year-old female presented with complaints of intermittent severe right renal colic. CT imaging demonstrated a ureterosciatic hernia and moderate hydronephrosis proximal to the portion of the ureter that was herniated through the sciatic foramen. A retrograde pyelogram demonstrated a transition point in the ureter at the location of the hernia. A ureteral stent was placed resulting in straightening of the ureter, resolution of hydronephrosis, and complete resolution of the patient's symptoms.
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| http://dx.doi.org/10.1089/cren.2015.29005.sal | DOI Listing |
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Article Synopsis
- * Treatment options include stenting to alleviate symptoms, but if issues recur, a more invasive solution called sciatic hernioplasty may be necessary.
- * This article discusses a case of a woman with non-specific abdominal pain who was found to have a right-sided ureterosciatic hernia; after initial stenting failed, she underwent laparoscopic surgery and was pain-free a year later.
Ureterosciatic Hernia in Focus: A Narrative Review of the Literature.
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Urology, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, GBR.
Article Synopsis
- Pelvic herniation of the ureter through musculoskeletal foramina is a rare cause of ureteric obstruction, often discovered incidentally during surgery.
- The variant involving herniation through the sciatic foramen can lead to severe complications like sepsis or renal failure if not quickly diagnosed and treated.
- The diagnosis is complicated due to vague symptoms and subtle imaging signs, prompting a literature review to clarify its clinical features and improve recognition among healthcare providers.
The rare urological entity of ureterosciatic hernia: A case report of successful treatment after repeated recurrence.
Urol Case Rep
November 2023
Department of Gastrointestinal Surgery, Matsue City Hospital, Matsue, Japan.
Ureterosciatic hernia is a rare urological entity. We report a case of successful laparoscopic surgery for a ureterosciatic hernia that recurred repeatedly after conservative treatment. A 73-year-old woman complained of left abdominal pain.
View Article and Find Full Text PDFRobotic-Assisted Repair of a Ureterosciatic Hernia with Combined Ureteral Stenting.
CRSLS
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Department of General Surgery, Hartford Health Care, Hartford, CT.
Pelvic floor hernias represent a rare type of hernia and a rare etiology of pelvic symptoms. The rarest type of pelvic floor hernias are sciatic hernias, which present with a variety of symptoms depending on the hernia contents and location. Many different treatment approaches are described in the literature.
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A woman in her 90's developed pain in the left buttock, along with a left buttock mass. Contrast-enhanced computed tomography revealed a mass in the left gluteus muscle, ureteral dilation, and pelvic ureteral disconnection. Retrograde urography revealed bending of the left ureter at the sciatic foramen.
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