AI Article Synopsis
- The case discusses a rare anatomical variation in a 72-year-old man with an infected and obstructed right kidney due to kidney stones, complicated by an unusually long ureter.
- The presence of a ureteroinguinal hernia and the lengthy ureter posed challenges for standard treatment methods like using a ureteric stent.
- The approach to treatment involved performing a nephrostomy to relieve pressure, showcasing the need for careful planning in complex surgeries to avoid potential complications.
Article Abstract
This case exemplifies an unusual anatomical variation of a common presentation and highlights the importance of perioperative diagnosis and planning in complex surgical patients. A 72-year-old comorbid man presented to the emergency department with an infected obstructed right kidney secondary to an obstructing 12 mm vesicoureteric junction calculi. However, imaging also showed concurrent ureteroinguinal hernia associated with a 130 cm-long ureter, too long for conventional treatment with a ureteric stent. Acutely, the patient's collecting system was decompressed via nephrostomy, but due to the rarity of this anatomical variation, definitive treatment had to be rethought to help reduce the risk of iatrogenic damage and the associated long-term complications.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449568 | PMC |
| http://dx.doi.org/10.1136/bcr-2020-235060 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ureteroinguinal hernia: an added advantage for laparoscopy in the management of inguinal hernia-a case report.
Front Surg
November 2024
Department of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Different abdominal organs can herniate into the inguinal canal, including the small bowel, colon, appendix, ovaries, and, less commonly, the urinary bladder and fallopian tubes. Herniation of the ureter within an inguinal hernia is a very rare occurrence. To the best of our knowledge, less than 150 cases have been reported in the literature, including only 15 pediatric cases.
View Article and Find Full Text PDFNephroptosis and ureteroinguinal incarcerated hernia mimicking acute appendicitis.
BMC Urol
July 2024
University Hospital Bratislava, Bratislava, Slovakia.
The involvement of kidney, perirenal fat, and ureter is a rare variant of inguinal hernia. We report a case of a 78-year-old man presenting with typical clinical signs of acute appendicitis. Ultrasonography and CT scan revealed ptosis of the right kidney with a major part of the perirenal capsule involved in a large right sided inguinal hernia with acute obstruction of the ureter and urostasis.
View Article and Find Full Text PDFA surprise during hernia surgery: inguinoscrotal megaureter.
Turk J Pediatr
July 2024
Department of Pediatric Surgery, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Türkiye.
Background: Ureteroinguinal herniation is a rare occurrence that is typically diagnosed during the surgical repair of inguinal hernias.
Case Presentation: We present the case of a 4-year-old male who underwent inguinal hernia repair, during which a megaureter was discovered within the hernia sac. The surgical intervention included high ligation of the hernial sac and repositioning of the ureter back into the retroperitoneum.
Obstructed urosepsis secondary to a ureteroinguinal hernia, managed with urgent hernia repair.
ANZ J Surg
June 2024
Urology, Grampian's Health, Ballarat, Australia.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!