Inguinal Hernia Containing an Incarcerated Ureter of a Transplanted Kidney

Abstract

We presented a case of an inguinal hernia containing an incarcerated ureter in a patient with transplanted kidney. A 60-year-old man was admitted to hospital with elevated creatinine levels and trans-abdominal ultrasound recognised hydronephrosis. An unenhanced CT scan revealed an incarcerated ureter in the inguinal hernia sac. The imaging confirmed hydronephrosis of the enlarged kidney with dilated pyelon and calyces. Later control examinations reported no change of grade of hydronephrosis and kidney function, probably due to the intermittent nature of ureteral incarceration. We present this case in light of the recent increase in reporting of ureteroinguinal hernias and as a reminder to radiologists always to check the course of the ureters when they encounter or suspect inguinal hernia.