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Ureteral inguinal hernia: an uncommon trap for general surgeons.

Abstract Inguinal hernias involving the ureter, a retroperitoneal structure, is an uncommon phenomenon. It can occur with or without obstructive uropathy, the latter posing a trap for the unassuming general surgeon performing a routine inguinal hernia repair. Ureteral inguinal hernia should be included as a differential when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure or urinary tract infection particularly in a male. The present case describes a patient with a known ureteroinguinal hernia who proceeded to having a planned hernia repair and ureteric protection. The case is a reminder that when faced with an unexpected finding such an indirect sliding inguinal hernia, extreme care should be taken to ensure that no structures are inadvertently damaged and that a rare possibility is the entrapment of the ureter in the inguinal canal.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28275027
OWN - NLM
STAT- MEDLINE
DA  - 20170309
DCOM- 20170316
LR  - 20170316
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 08
TI  - Ureteral inguinal hernia: an uncommon trap for general surgeons.
LID - bcr2017219288 [pii]
LID - 10.1136/bcr-2017-219288 [doi]
AB  - Inguinal hernias involving the ureter, a retroperitoneal structure, is an
      uncommon phenomenon. It can occur with or without obstructive uropathy, the
      latter posing a trap for the unassuming general surgeon performing a routine
      inguinal hernia repair. Ureteral inguinal hernia should be included as a
      differential when a clinical inguinal hernia is diagnosed concurrently with
      unexplained hydronephrosis, renal failure or urinary tract infection particularly
      in a male. The present case describes a patient with a known ureteroinguinal
      hernia who proceeded to having a planned hernia repair and ureteric protection.
      The case is a reminder that when faced with an unexpected finding such an
      indirect sliding inguinal hernia, extreme care should be taken to ensure that no 
      structures are inadvertently damaged and that a rare possibility is the
      entrapment of the ureter in the inguinal canal.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Yahya, Zarif
AU  - Yahya Z
AD  - Department of General Surgery, Eastern Health, Box Hill, Victoria, Australia.
FAU - Al-Habbal, Yahya
AU  - Al-Habbal Y
AD  - Department of General Surgery, Eastern Health, Box Hill, Victoria, Australia.
FAU - Hassen, Sayed
AU  - Hassen S
AD  - Department of Hepatobiliary, Upper GI and General Surgery, Eastern Health, Box
      Hill, Victoria, Australia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170308
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Aged, 80 and over
MH  - General Surgery
MH  - Hernia, Inguinal/*surgery
MH  - Herniorrhaphy
MH  - Humans
MH  - Male
MH  - Ureteral Diseases/*pathology/*surgery
EDAT- 2017/03/10 06:00
MHDA- 2017/03/17 06:00
CRDT- 2017/03/10 06:00
AID - bcr-2017-219288 [pii]
AID - 10.1136/bcr-2017-219288 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 8;2017. pii: bcr2017219288. doi: 10.1136/bcr-2017-219288.

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