An unusual cause of hydronephrosis: Ureteroinguinal herniation
Turk Uroloji Dergisi, cilt.35, sa.1, ss.61-63, 2009 (SCI-Expanded, ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 1
- Basım Tarihi: 2009
- Dergi Adı: Turk Uroloji Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.61-63
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Ureteral herniation into the scrotum is infrequent and usually asymptomatic. This entity is mostly diagnosed at surgery or in the postoperative period. Radiological demonstration of this condition is important to avoid serious complications. We present a rare case of ureteroinguinal herniation with hydronephrosis accompanying an incarcerated inguinal hernia. A 45-year-old man presented with left inguinal and lower quadrant pain with progressive abdominal distention. Physical examination revealed a left-sided irreducible inguinal hernia and abdominal tenderness. There were no urinary complaints. Contrastenhanced computed tomography (CT) showed left-sided hydronephrosis, inguinal hernia, mesenteric fat, and incarceration. The left ureter was dilated due to possible entrance into the scrotum with the hernia. In CT urography, there was no passage of contrast media to the ureter due to hydronephrosis. The descending part of the ureter was more dilated than the ascending part, which implied an obstruction due to kinking inside the hernia.