Abstract

BackgroundUreteral inguinoscrotal hernias (UISH) are rare, associated in some cases with congenital abnormalities of the urinary tract. Their presentation is commonly asymptomatic, and diagnosis is mostly incidental.Case presentationA 65-year-old male patient presented to the emergency room with neurologic symptoms and an altered renal function. Further investigation revealed a ureteral paraperitoneal inguinoscrotal hernia with a pelvic ectopic solitary kidney and malrotation. Three days after hernia repair and placement of a ureteral JJ stent, the creatinine levels stabilized, and the patient was discharged.ConclusionThis is the first reported case of a ureteral paraperitoneal inguinoscrotal hernia in a patient with a pelvic ectopic solitary kidney and malrotation. Currently, it is also the only case reported that has been managed by laparoscopy.

Highlights

  • Ureteral inguinoscrotal hernias (UISH) are rare, associated in some cases with congenital abnormalities of the urinary tract

  • It is the only case reported that has been managed by laparoscopy

  • 1 Background Ureteral inguinoscrotal hernias (UISH) are rare, with less than 140 cases reported in the literature [1]

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Summary

Conclusion

The case here presented outlines the experience of managing a rare disease with a presentation that has not been described yet.

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