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Case Report
A case of ureteral herniation in large sliding inguinoscrotal hernia
1 Associate Lecturer, General Surgical Department, University of Queensland, QLD, Australia
2 General Surgeon, General Surgical Department, QLD, Australia
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Bertrand Ng Ren Joon
116 Water Street, South Toowoomba, QLD 4350,
Australia
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Article ID: 100071Z12BJ2020
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Joon BNR, Subramanian P. A case of ureteral herniation in large sliding inguinoscrotal hernia. J Case Rep Images Surg 2020;6:100071Z12BJ2020.ABSTRACT
Introduction: Ureteral herniation present in a large sliding inguinoscrotal hernia is rare and usually remains asymptomatic for years. Often, the diagnosis is only made intraoperatively as an incidental finding during an elective repair of a large inguinoscrotal hernia. A detailed urological history should always be performed with any inguinal hernia patient.
Case Report: I present a case on an average built and a non-transplant elderly man who initially presented with lower urinary tract symptoms with clinical history and examination suggestive of benign prostate enlargement. He then had a computed tomography (CT) scan which reveals a ureteral herniation and the subsequent management of the case.
Conclusion: Patients with a large inguinoscrotal hernia and unexplained urinary symptoms, renal impairment, or hydronephrosis should warrant further investigation. A general surgeon should always be aware of ureteric herniation as part of the differential diagnosis when handling cases of large inguinoscrotal hernia and must always exert extreme caution during dissection as there is the rare possibility of a ureter hiding among the fatty tissue in the sac.
Keywords: Lower tract urinary symptoms, Mesh, Open herniorrhaphy, Sliding inguinoscrotal hernia, Ureteral herniation
SUPPORTING INFORMATION
Author Contributions
Bertrand Ng Ren Joon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pradeep Subramanian - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsUniversity of Queensland, Australia.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Bertrand Ng Ren Joon et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
