Inguino-scrotal herniation of the ureter containing stones

Abstract

A herniated ureter is potentially a source of serious renal or ureteral complications. When discovered, ureteric hernias should be surgically repaired. If preoperative detection of a ureter herniation alongside an inguinal hernia is missed, awareness of the existence of this condition may help avoid iatrogenic ureteral damage injury during a complex hernioplasty. Documentation of unexplained, sizeable and distinct calcifications in an inguino-scrotal hernia sac, particularly in a patient with a history of urolithiasis, may suggest the presence of a herniated, calculus-filled ureter. In such cases, retrograde pyelograms may be considered for a definitive diagnosis prior to surgery.

Transplant uretero-inguinal hernia resulting in urosepsis

“…Previous studies have demonstrated that 42% of cases are inguinoscrotal in nature [13] , [15] . Ureteric hernias can also be cited as spontaneous, postoperative, or as a complication of renal transplant surgery [13] , [14] There are 2 anatomic presentations of ureteral herniation that have been reported in the literature: paraperitoneal and extraperitoneal herniations [5] , [6] , [14] , [17] , [18] , [19] . The vast majority of cases are of the paraperitoneal type which accounts for 80% of them [5] , [6] .…”

“…Ureteric hernias can also be cited as spontaneous, postoperative, or as a complication of renal transplant surgery [13] , [14] There are 2 anatomic presentations of ureteral herniation that have been reported in the literature: paraperitoneal and extraperitoneal herniations [5] , [6] , [14] , [17] , [18] , [19] . The vast majority of cases are of the paraperitoneal type which accounts for 80% of them [5] , [6] . This anatomic variant is defined by a ureter that is posteriorly attached to an indirect peritoneal hernia sac resulting in it sliding beside it [5] This type of hernia is most commonly associated with the herniation of other organs, often the colon [5] , [6] .…”

“…The vast majority of cases are of the paraperitoneal type which accounts for 80% of them [5] , [6] . This anatomic variant is defined by a ureter that is posteriorly attached to an indirect peritoneal hernia sac resulting in it sliding beside it [5] This type of hernia is most commonly associated with the herniation of other organs, often the colon [5] , [6] .…”

“…Extraperitoneal hernias are much less common, accounting for 20% of the cases, and are characterized by ureteral herniation without an associated peritoneal hernia sac [5] , [10] , [20] , [21] , [22] , [23] . In this type, the ureter either herniates alone or alongside retroperitoneal fat [6] , [10] ,.…”

“…Barring strangulated hernias, patients typically choose to wait and have an elective repair performed at a time of convenience [1] , [2] , [3] , [4] . Uretero-inguinal hernias are rare and are especially uncommon in patients with nontransplanted kidneys [5] …”