Article Text
Summary
A 65-year-old female patient presented with a 2-day history of worsening right-sided abdominal pain and clinical signs of sepsis, on the background of a recent admission for pancolitis. Imaging revealed right ureteric herniation through the sciatic foramen with subsequent hydroureteronephrosis and radiological signs of severe pyelonephritis. The patient underwent emergency decompression with a percutaneous nephrostomy, followed by insertion of an antegrade stent to correct the ureteric hernia once the sepsis was appropriately treated. We describe the presentation and management of this unusual case of herniation of the right ureter into the sciatic foramen.
- urinary and genital tract disorders
- urology
- renal intervention
- radiology
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Footnotes
Contributors MGF: substantial contributions to the design of the work and acquisition of the information/images; writing of the entire manuscript. CL: drafting of several sections of the manuscript. AT: revision of the manuscript and contributions to the information/images. MB: revision of the entire manuscript and approval of final version for publication.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.