Abstract
IntroductionSeveral complications have been reported with inguinal hernias. Although hematuria and flank pain, either as the presentation or as a complication of inguinal hernia, are infrequent, this condition may lead to the development of obstructive uropathy, which can have diverse manifestations.Case presentationA 71-year-old Iranian man with Persian ethnicity presented with new onset episodes of gross hematuria and left-sided flank pain. A physical examination revealed a large and non-tender inguinal hernia on his left side. An initial workup included an abdominal ultrasound, an intravenous pyelogram and cystoscopy, which showed left hydronephrosis and a bulging on the left-side of his bladder wall. On further evaluation, computed tomography confirmed that his sigmoid colon was the source of the pressure effect on his bladder, resulting in hydroureteronephrosis and hematuria. No tumoral lesion was evident. Herniorrhaphy led to the resolution of his signs and symptoms.ConclusionOur case illustrates a rare presentation of inguinal hernia responsible for gross hematuria and unilateral hydronephrosis. Urologic signs and symptoms can be caused by the content of inguinal hernias. They can also present as complications of inguinal hernias.
Highlights
Several complications have been reported with inguinal hernias
Our case illustrates a rare presentation of inguinal hernia responsible for gross hematuria and unilateral hydronephrosis
Urologic signs and symptoms can be caused by the content of inguinal hernias
Summary
Our case illustrates a rare presentation of inguinal hernia, responsible for gross hematuria and unilateral hydroureteronephrosis. Urologic signs and symptoms can be induced by the contents of an inguinal hernia They can be present as complications of an inguinal hernia. The presence of urological symptoms and signs such as hematuria, flank pain and hydroureteronephrosis may be seen with an inguinal hernia, but they generally occur when there is associated bladder herniation [4,5,6]. Given the resultant urinary retention, high intraluminal pressure and consequent urothelial injury in the ureter and upper urinary system, the hematuria occurred as a rare presentation of an inguinal hernia. In this clinical pattern, care must be taken to prevent probable. A copy of the written consent is available for Review by the Editor-in-Chief of this journal
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