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CASE REPORT
Seventy-six-year-old woman with an unusual anatomy of the left ureter
  1. George A Demetriou1,
  2. Sohan Perera2,
  3. Constantine Halkias1,
  4. Shwan Ahmed2
  1. 1Department of General Surgery, East Sussex Healthcare NHS Trust, St Annes House, Saint Leonards-on-sea, UK
  2. 2Department of Urology, East Sussex Healthcare NHS Trust, St Annes House, Saint Leonards-on-sea, UK
  1. Correspondence to George A Demetriou, Department of General Surgery, East Sussex Healthcare NHS Trust, St Annes House, 729 The Ridge, Saint Leonards-on-sea TN37 7RD, UK; dr.george.demetriou{at}gmail.com

Summary

We present a case of a 76-year-old woman, who attended with features suggestive of renal colic; however on imaging, she was found to have a right pelvic kidney and a left-sided uretero-sciatic hernia (USH), identified on CT urography (CT urogram). She was managed conservatively as she had a normal renal function and reported no symptoms in follow-up appointments. USH are rare hernias, where the ureter herniates through the sciatic foramen. Patients might present with sepsis in which case they require emergency stenting either anterograde or retrograde or with pain in which a less urgent approach can be followed and plan for surgery. Our literature review only identified a small number of similar cases, and the most successful treatment method for those symptomatic patients who required a procedure was the surgical repair.

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Footnotes

  • Contributors GAD wrote the manuscript. CH assisted in writing and paper review. SP had the initial idea to write up and helped with writing. SA supervised the whole process.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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