Sliding ureteral inguinal hernia: An uncommon embryological trick. Case report and literature review

Isernia, Roberta; Luca, Giuseppe Massimiliano De; Luca, Alessandro De; Franzoso, Lucia; Navazio, Lorenzo Ramon; Caruso, Riccardo; Ferri, Valentina; Ielpo, Benedetto; Giungato, Simone

doi:10.1016/j.ijscr.2022.107006

Cited by 3 publications

(6 citation statements)

References 12 publications

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“… 2 When ureteroinguinal hernias do occur, they are most often described in males in the fifth to sixth decade of life with obesity and a congenital ectopic kidney, due to the possible pelvic location and redundancy of the ureter, listed as risk factors. 3 , 4 , 5 Ureteroinguinal hernias can include the ureter alone, but are also frequently found in conjunction with other sliding abdominal organs, including the bladder or bowels. 3 , 4 , 5 They are more commonly involved with indirect hernias than with direct hernias and the right side is more often involved that the left postulated to be due to the Fascia of Toldt, stationed at the root of the sigmoid colon mesentery, anchoring the left ureter in the retroperitoneum.…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 4 , 5 Ureteroinguinal hernias can include the ureter alone, but are also frequently found in conjunction with other sliding abdominal organs, including the bladder or bowels. 3 , 4 , 5 They are more commonly involved with indirect hernias than with direct hernias and the right side is more often involved that the left postulated to be due to the Fascia of Toldt, stationed at the root of the sigmoid colon mesentery, anchoring the left ureter in the retroperitoneum. 1 , 3 , 6 , 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

“… 3 , 4 , 5 They are more commonly involved with indirect hernias than with direct hernias and the right side is more often involved that the left postulated to be due to the Fascia of Toldt, stationed at the root of the sigmoid colon mesentery, anchoring the left ureter in the retroperitoneum. 1 , 3 , 6 , 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of an obstructing calculus in an anticoagulated patient with a ureteral hernia

De Mann,

George,

Said

2024

Urology Case Reports

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of an obstructing calculus in an anticoagulated patient with a ureteral hernia

De Mann,

George,

Said

2024

Urology Case Reports

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“…It is generally a well-tolerated procedure with a low chance of significant complications. Finding a ureter within an inguinal hernia is a very rare occurrence, with less than 150 cases reported in the English literature [2][3][4][5][6][7]. Risk factors for ureteroinguinal hernia include male sex, age over 50, having a history of renal transplant and they are more common on the right side [7].…”

Section: Introductionmentioning

confidence: 99%

Unexpected Ureter Within an Inguinal Hernia

Laurie¹

2023

Cureus

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Inguinal hernias containing a ureter are a rare occurrence. They are rarely diagnosed pre-operatively and can lead to serious complications if inadvertently damaged during hernia repair. We present the case of a 36year-old obese male who was found to have a ureter within his inguinal hernia intra-operatively. Due to imaging performed at another hospital, we have both pre and post-operative imaging demonstrating the ureter, its course into the inguinal hernia and its subsequent reduction back into the retroperitoneal space. We discuss the epidemiology of this phenomenon, the clinical implications and methods that have been suggested for pre-operative diagnosis.

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“…It is not uncommon to find abdominopelvic organs within the groin hernia sac. Proximity, chronicity, and gravity make some organs more likely to be found within the femoral or inguinal hernia sac compared to others [ 3 ]. A chronic indirect inguinal hernia might lead to adherence of the posterior wall of the hernia sac to an intraabdominal viscus, making that wall indistinguishable from the hernia sac [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Gastric Outlet Obstruction from Stomach-Containing Groin Hernias: Case Report and a Systematic Review

Favela,

Argo,

McAllister

et al. 2023

JCM

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Most abdominopelvic structures can find their way to a groin hernia. However, location, and relative fixation are important for migration. Gastric outlet obstruction (GOO) from a stomach-containing groin hernia (SCOGH) is exceedingly rare. In the current report, we present a 77-year-old man who presented with GOO from SCOGH to our facility. We performed a review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) of patients presenting with SCOGH since it was first reported in 1802. Ninety-one cases of SCOGH were identified (85 inguinal and six femoral) over the last two centuries (1802–2023). GOO from SCOGH occurred in 48% of patients in one review and 18% in our systematic analysis. Initial presentation ranged from a completely asymptomatic patient to peritonitis. Management varied from entirely conservative treatment to elective hernia repair to emergent laparotomy. Only one case of laparoscopic management was documented. Twenty-one deaths from SCOGH were reported, with most occurring in early manuscripts (1802–1896 [n = 9] and 1910–1997 [n = 10]). In the recent medical era, outcomes for patients with this rare clinical presentation are satisfactory and treatment ranging from conservative, non-operative management to surgical repair should be tailored towards patients’ clinical presentation.

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Sliding ureteral inguinal hernia: An uncommon embryological trick. Case report and literature review

Cited by 3 publications

References 12 publications

Management of an obstructing calculus in an anticoagulated patient with a ureteral hernia

Management of an obstructing calculus in an anticoagulated patient with a ureteral hernia

Unexpected Ureter Within an Inguinal Hernia

Gastric Outlet Obstruction from Stomach-Containing Groin Hernias: Case Report and a Systematic Review

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