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

Introduction: inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. When the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders as hydronephrosis. Case report: a 77-year-old male patient suffe...

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Autores: Isernia, Roberta Maria, De Luca, Giuseppe Massimiliano, De Luca, Alessandro, Franzoso, Lucia, Navazio, Lorenzo Ramon, Caruso, Riccardo, Ferri, Valentina, Ielpo, Benedetto, Giungato, Simone
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/54785
Acceso en línea:http://hdl.handle.net/10230/54785
http://dx.doi.org/10.1016/j.ijscr.2022.107006
Access Level:acceso abierto
Palabra clave:Bladder
Groin hernia
Inguinal hernia
Ureter
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spelling Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature reviewIsernia, Roberta MariaDe Luca, Giuseppe MassimilianoDe Luca, AlessandroFranzoso, LuciaNavazio, Lorenzo RamonCaruso, RiccardoFerri, ValentinaIelpo, BenedettoGiungato, SimoneBladderGroin herniaInguinal herniaUreterIntroduction: inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. When the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders as hydronephrosis. Case report: a 77-year-old male patient suffering from hypertrophic obstructive cardiomyopathy, obesity and diabetic disease presented with urinary disorders and left-sided inguinoscrotal hernia. Under clinical suspicion of sigmoid colon involvement in the inguinal canal, abdominal and pelvic computed tomography (CT scan) with endovenous contrast was performed, revealing a left inguinoscrotal hernia, containing the sigmoid colon and the left pelvic ureter causing left hydronephrosis. Discussion: without create urinary bladder wall leakage, the content of the hernial sac was reduced into the abdominal cavity. Previous subarachnoid anesthesia a left hernioplasty was performed by means of Lichtenstein's method with self-fixating mesh (Bard Adhesix) and subsequent complete resolution of the hydronephrosis. Conclusion: ureter involvement should be suspected when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure, or urinary tract infection, as in the case described. When suspected, the preoperative diagnosis, particularly with CT scan, is essential to avoid complications and to reduce risk of bladder and ureter injuries during hernia repair.Elsevier202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/54785http://dx.doi.org/10.1016/j.ijscr.2022.107006reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésCopyright © 2022. Isernia RM, De Luca GM, De Luca A, Franzoso L, Navazio LR, Caruso R, Ferri V, et al. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/547852026-06-12T07:21:37Z
dc.title.none.fl_str_mv Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
title Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
spellingShingle Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
Isernia, Roberta Maria
Bladder
Groin hernia
Inguinal hernia
Ureter
title_short Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
title_full Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
title_fullStr Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
title_full_unstemmed Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
title_sort Sliding ureteral inguinal hernia: an uncommon embryological trick. Case report and literature review
dc.creator.none.fl_str_mv Isernia, Roberta Maria
De Luca, Giuseppe Massimiliano
De Luca, Alessandro
Franzoso, Lucia
Navazio, Lorenzo Ramon
Caruso, Riccardo
Ferri, Valentina
Ielpo, Benedetto
Giungato, Simone
author Isernia, Roberta Maria
author_facet Isernia, Roberta Maria
De Luca, Giuseppe Massimiliano
De Luca, Alessandro
Franzoso, Lucia
Navazio, Lorenzo Ramon
Caruso, Riccardo
Ferri, Valentina
Ielpo, Benedetto
Giungato, Simone
author_role author
author2 De Luca, Giuseppe Massimiliano
De Luca, Alessandro
Franzoso, Lucia
Navazio, Lorenzo Ramon
Caruso, Riccardo
Ferri, Valentina
Ielpo, Benedetto
Giungato, Simone
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Bladder
Groin hernia
Inguinal hernia
Ureter
topic Bladder
Groin hernia
Inguinal hernia
Ureter
description Introduction: inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. When the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders as hydronephrosis. Case report: a 77-year-old male patient suffering from hypertrophic obstructive cardiomyopathy, obesity and diabetic disease presented with urinary disorders and left-sided inguinoscrotal hernia. Under clinical suspicion of sigmoid colon involvement in the inguinal canal, abdominal and pelvic computed tomography (CT scan) with endovenous contrast was performed, revealing a left inguinoscrotal hernia, containing the sigmoid colon and the left pelvic ureter causing left hydronephrosis. Discussion: without create urinary bladder wall leakage, the content of the hernial sac was reduced into the abdominal cavity. Previous subarachnoid anesthesia a left hernioplasty was performed by means of Lichtenstein's method with self-fixating mesh (Bard Adhesix) and subsequent complete resolution of the hydronephrosis. Conclusion: ureter involvement should be suspected when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure, or urinary tract infection, as in the case described. When suspected, the preoperative diagnosis, particularly with CT scan, is essential to avoid complications and to reduce risk of bladder and ureter injuries during hernia repair.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/54785
http://dx.doi.org/10.1016/j.ijscr.2022.107006
url http://hdl.handle.net/10230/54785
http://dx.doi.org/10.1016/j.ijscr.2022.107006
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
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