Introduction. Inguinal herniation of the ureter is a rare entity that occurs either as a complication of renal transplantation or spontaneously. Patients may suffer from obstructive uropathy or groin pain due to the unusual ectopic course of the ureter. This case report highlights the importance of recognizing a ureteroinguinal hernia. Methods. In this case report, we present a 75-year-old man with a surgical history of a right inguinal hernia repair who was referred to our center with burning left inguinal pain that persisted for two weeks. The patient’s history and physical examination were consistent with an inguinal hernia. The suspected indirect inguinal hernia was found on preoperative imaging to be a tubular structure distinct from the intestine or adjacent organs. An open exploration of the inguinal canal was performed to prevent further hernia development. Results. The unusual structure in the inguinal canal turned out to be an ectopic ureter originating from the left upper pole moiety of the left duplex kidney (i.e., with duplicated ureters) and containing concentrated urine, as confirmed on a postoperative computerized tomography urogram. Conclusion. It is crucial to perform a thorough clinical examination and utilize adequate imaging modalities before surgical procedures when encountering unidentified structures.

The epidemiology of traumatic injuries in elderly patient fractures varies widely among countries. There is quantitative information to determine the prevalence and gender/age distribution of traumatic injuries in the elderly patient. The aim of the current study was to reveal the prevalence and age and gender distribution of various traumatic injuries in an elderly patient refers to as a tertiary orthopedic hospital in Iran. In a prospective descriptive study, all elderly patients with traumatic injuries attending the Orthopedic Trauma Unit of our center in 2001-2011 were included. Demographic details, the cause of injury, injury classification was recorded. For each gender, we calculated the numbers with fractures, dislocations, soft tissue injuries, ligamentous injuries, and lacerations and derived average age and gender-specific prevalence. During a period of 10 years, a total of 1172 elderly patients were admitted, 588 (50.1%) males, and 584 (49.9%) females. 849 patients (72.4%) had fractures. 323 (27.5%) of the patient had other limb injuries were include soft tissue injuries, lacerations, ligamentous injuries, and dislocations. The three most common fracture sites were proximal femur (40.02%), distal radius/ulna (12.47%), and proximal humerus (6.53%). The most prevalent traumatic injury among the elderly was fractures with a higher rate in females. The most common fracture sites were proximal of the femur and distal of radius and ulna bones.

In this case report, we present a 70-year-old man referred to with burning pain in his left inguinal area for two weeks. From a surgical view, the presumptive indirect inguinal hernia was discovered to be a structure distinct from the intestine or nearby organs.

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Buccal Fat Pad is an encapsulated mass of adipose tissue located within the buccal facial spaces, between the buccinator and masseter muscles. Intraoral traumatic herniation of Buccal Fat Pad, often seen in young children, has been reported as a rare case. In this report, we present a case of traumatic Buccal Fat Pad herniation which at first was misdiagnosed as a malignant tumor.