Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review

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• dc.contributor.author Isernia, Roberta Maria
• dc.contributor.author De Luca, Giuseppe Massimiliano
• dc.contributor.author De Luca, Alessandro
• dc.contributor.author Franzoso, Lucia
• dc.contributor.author Navazio, Lorenzo Ramon
• dc.contributor.author Caruso, Riccardo
• dc.contributor.author Ferri, Valentina
• dc.contributor.author Ielpo, Benedetto
• dc.contributor.author Giungato, Simone
• dc.date.accessioned 2022-11-10T08:11:01Z
• dc.date.available 2022-11-10T08:11:01Z
• dc.date.issued 2022
• dc.description.abstract Introduction: inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. When the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders as hydronephrosis. Case report: a 77-year-old male patient suffering from hypertrophic obstructive cardiomyopathy, obesity and diabetic disease presented with urinary disorders and left-sided inguinoscrotal hernia. Under clinical suspicion of sigmoid colon involvement in the inguinal canal, abdominal and pelvic computed tomography (CT scan) with endovenous contrast was performed, revealing a left inguinoscrotal hernia, containing the sigmoid colon and the left pelvic ureter causing left hydronephrosis. Discussion: without create urinary bladder wall leakage, the content of the hernial sac was reduced into the abdominal cavity. Previous subarachnoid anesthesia a left hernioplasty was performed by means of Lichtenstein's method with self-fixating mesh (Bard Adhesix) and subsequent complete resolution of the hydronephrosis. Conclusion: ureter involvement should be suspected when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure, or urinary tract infection, as in the case described. When suspected, the preoperative diagnosis, particularly with CT scan, is essential to avoid complications and to reduce risk of bladder and ureter injuries during hernia repair.
• dc.format.mimetype application/pdf
• dc.identifier.citation Isernia RM, De Luca GM, De Luca A, Franzoso L, Navazio LR, Caruso R, Ferri V, et al. Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review. Int J Surg Case Rep. 2022 May; 94: 107006. DOI: 10.1016/j.ijscr.2022.107006.
• dc.identifier.doi http://dx.doi.org/10.1016/j.ijscr.2022.107006
• dc.identifier.issn 2210-2612
• dc.identifier.uri http://hdl.handle.net/10230/54785
• dc.language.iso eng
• dc.publisher Elsevier
• dc.rights Copyright © 2022. Isernia RM, De Luca GM, De Luca A, Franzoso L, Navazio LR, Caruso R, Ferri V, et al. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Bladder
• dc.subject.keyword Groin hernia
• dc.subject.keyword Inguinal hernia
• dc.subject.keyword Ureter
• dc.title Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion