Inguino-scrotal hernia of a double district ureter: case report and literature review

Abstract

Ureteral hernia is uncommon and usually misdiagnosed. From an anatomic point of view, we can distinguish between two uretero-inguinal hernias: intraperitoneal and extraperitoneal. Ureter inguinal hernias are nearly always indirect. This kind of hernia can include the ureter alone or, frequently, other abdominal sliding organs within the hernia sac (bladder, bowel tracts, etc.). Kidneys and urinary tracts present normal anatomic conformation, although renal ptosis may be found. As of July 2004, 139 cases of ureteral hernia had been described in the literature. Here we report a case of inguino-scrotal herniation of double district ureter and review the current literature to analyze the main clinical characteristics of this pathology and to establish pitfalls.

Case Report-Inguinoscrotal ureteral hernia diagnosed on micturating cystourethrography

“…So far, 140 cases have been described in the world literature;[1213] however, only one such case has been diagnosed on a preoperative urogram. [14] The diagnosis of ureteral inguinoscrotal hernia is often missed because of the absence of urinary symptoms.…”

Ureter in Sliding Inguinal Hernia

“…Ureter in the hernial content is rare and in a retrospective review of 1950 groin hernias, the incidence of urinary bladder as its content was 0.36% with no ureter as content [1]. 139 cases of ureter in hernia have been described in literature [2]. Only one such case is diagnosed on a preoperative urogram [3].…”

Case 230: Congenital Inguinal Herniation of the Left Ureter (Extraperitoneal Form)

“…Because of the rarity of this condition and the fact that it could be clinically indistinguishable from an inguinal hernia or a hydrocele, ureteral ingui nal hernia is difficult to diagnose without imaging and is very rarely diagnosed preoperatively (1,2). In this case, the patient's history initially suggested two separate diagnoses (inguinal hernia and urinary tract infection).…”