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Case Reports
. 2015 Oct 6:2015:bcr2015211519.
doi: 10.1136/bcr-2015-211519.

An unusual inguinoscrotal hernia with renal involvement

Humza Tariq Osmani  1 , Richard Boulton  2 , Harry Wyatt  2 , Stephen Michael Saunders  2
Affiliations
Case Reports

An unusual inguinoscrotal hernia with renal involvement

Humza Tariq Osmani et al. BMJ Case Rep. .

Abstract

We present a case of a 74-year-old man who, while in intensive treatment unit for an upper gastrointestinal bleed, decompensated cardiac failure and concurrent pneumonia, was found to have a large right hydronephrotic pelvic kidney and bladder within the hernia. After discharge, he was medically optimised for 7 months before undergoing an elective open mesh repair of his hernia. During the procedure, drainage of a large hydrocoele was performed to facilitate reduction of the hernia. Postoperatively, he underwent ureteric stenting due to a persistent hydronephrosis with impairment of his renal function. He subsequently made a good recovery and was discharged home with outpatient follow-up planned.

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Figures

Figure 1
Figure 1
Large right-sided inguinoscrotal hernia containing a dilated right ureter (red arrow) and omentum.
Figure 2
Figure 2
Grossly dilated right renal pelvis (red arrow) and proximal ureter seen at the origin of the right inguinoscrotal hernia sac.
Figure 3
Figure 3
CT KUB postoperative: reduction of right inguinoscrotal hernia and right kidney; the latter continues to show persistent hydronephrosis.
See this image and copyright information in PMC

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