Presentation
Fever, dysuria. Rule out nephronia or abscess.
Patient Data
Age: 60 years
Gender: Male
From the case:
Ureteroinguinal hernia
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Normal-sized kidneys showing normal, symmetric nephrographic and pyelographic effect.
Case Discussion
Incidentally discovered loop of right ureter in an inguinal hernia, facilitated by the right kidney's low position and most probably accounting for the mild right-sided hydronephrosis.
Ureteroinguinal hernias are very rare, especially with native kidneys. The type seen here is the most common type, a paraperitoneal indirect inguinal hernia 1. Luckily for the patient, only the left inguinal hernia had been repaired; if the right hernia were operated on, there is a fair chance that the right ureter would have been injured.
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