Unilateral Renal and Spermatic Cord Agenesis Accompanying to the Ureteral Extraperitoneal Inguinal Herniation in An Infant

Hö Gezer,A Hiçsönmez,B Hasbay,E Ince,A Temiz,G Parmaksız

doi:10.31487/j.scr.2019.05.15

Abstract

Ureteroinguinal herniation is a rare event, usually diagnosed during the surgical repair of inguinal hernias and most reported cases have occurred in obese men during the fifth and sixth decades of life. Here, we describe the first case of unilateral renal and spermatic cord agenesis accompanying to the ureteral inguinal herniation in an infant.

Highlights

Inguinal herniation of the ureter is a rare event even in infants and is mainly observed in obese middle-aged men
We describe the first case of unilateral renal and spermatic cord agenesis accompanying to the ureteral inguinal herniation in an infant
We report the case of a male infant with renal and spermatic cord agenesis caused by this condition

Summary

Introduction

Inguinal herniation of the ureter is a rare event even in infants and is mainly observed in obese middle-aged men. We report the case of a male infant with renal and spermatic cord agenesis caused by this condition. A 2-month-old boy, antenatally diagnosed with left hydronephrosis and right renal agenesis, was seen firstly at the pediatric nephrology policlinic. The right kidney was not observed (agenesis?) with ultrasound (USG), and the left unit was reported as hydroureteronephrosis with AP diameter: 9 mm and distal ureter diameter: 10 mm. MR showed that left kidney is in normal localization with a mild hydroureteronephrosis (AP: 10 mm, ureter: 11mm), and the right kidney is not visible probably due to atrophy prenatally (Figure 2). We performed cystoscopy and saw that the right ureteral orifice very broad and in out of the normal localization. Pathologic evaluation revealed no kidney parenchyma, no spermatic cord tissue but ureter with squamous metaplasia.

Discussion

Findings

Conclusion