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Case Reports: Unusual presentation of more common disease/injury
Ureteral inguinoscrotal hernia recurrence following robotic hernia repair: an uncommon hernia recurrence
  1. Austin Krebs1,
  2. Nathan Cheng2,
  3. Kevin Basralian2 and
  4. Burton Surick1
  1. 1Surgery, Hackensack University Medical Center, Hackensack, New Jersey, USA
  2. 2Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA
  1. Correspondence to Dr Burton Surick; burton.surick{at}hmhn.org

Abstract

Ureteral inguinoscrotal hernias are a rare occurrence and commonly occur without evidence of obstructive uropathy. We present a patient found on a preoperative CT scan to have a recurrent left inguinal hernia with the left ureter passing through the hernia defect adjacent to the hernia sac into the scrotum. At surgery the redundant dilated ureter required a ureteroureterostomy because it could not be safely straightened or reduced. Preoperative imaging allowed for identification of the ureter in the hernia sac and allowed for extensive preoperative planning with the urology team, and efficient definitive treatment of his condition at the time of surgery.

  • General surgery
  • Urology

https://doi.org/10.1136/bcr-2021-248151

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    Footnotes

    • Contributors The contribution to the manuscript for the four authors are as follows; BS: conceptualisation, analysis, review and editing. KB: conceptualisation, review. NC: resources and review. AK: resources writing-original draft.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.