Abstract
Herniation is one of the most frequent surgical conditions. However, the presence of a megaureter in the hernia sac or content is extremely rare. Little has been reported on this topic in the world literature, and its diagnosis has been incidentally reached either as an intraoperative finding or during different contrast imaging studies. This is the clinical case of a patient with a history of inguinal hernia who underwent a herniorrhaphy 20 years ago and presented to the emergency department with a diagnostic impression of a relapsed hernial defect. He also had poorly-controlled diabetes mellitus. During his hospital stay, a diagnosis of relapsed hernia sac containing a megaureter was confirmed, and visceral-parietal adhesions and a subhepatic cecum were found.
Highlights
Herniation is one of the most frequent surgical conditions
Little has been reported on this topic in the world literature
This is the clinical case of a patient with a history
Summary
Herniation is one of the most frequent surgical conditions. the presence of a megaureter in the hernia sac or content is extremely rare. La hernia ureteroinguinal es un cuadro poco frecuente [5] que presenta síntomas específicos aunque, en la mayoría de los casos, no se diferencia de las masas típicas localizadas en la ingle [6]. Estos últimos pueden generar dolor en el flanco, disuria, hematuria, obstrucción urinaria aguda y micción de doble fase que requiere presión para iniciar o terminar el vaciado asociado con una hernia inguinal [7].
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