Article Text
Summary
Inguinal hernias involving the ureter, a retroperitoneal structure, is an uncommon phenomenon. It can occur with or without obstructive uropathy, the latter posing a trap for the unassuming general surgeon performing a routine inguinal hernia repair. Ureteral inguinal hernia should be included as a differential when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure or urinary tract infection particularly in a male. The present case describes a patient with a known ureteroinguinal hernia who proceeded to having a planned hernia repair and ureteric protection. The case is a reminder that when faced with an unexpected finding such an indirect sliding inguinal hernia, extreme care should be taken to ensure that no structures are inadvertently damaged and that a rare possibility is the entrapment of the ureter in the inguinal canal.
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Footnotes
Contributors As corresponding author, ZY was responsible for conception and design of the case report as well as collection and interpretation of relevant patient data. Both ZY and YA performed a literature review. ZY and YA drafted and critically revised the article for accuracy and appropriateness of intellectual content. As the Director of General Surgery, SH provided valuable insights, guidance and direction in drafting the article. SH also proof-read the article and along with ZA and YA gave approval for the final manuscript to be submitted.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.