远端输尿管腹股沟疝导致肾积水：1例罕见病例。

Inguinal hernia of the distal ureter causing hydronephrosis: A rare case.

作者信息

Smith Matthew T, Wong Nathan C, Coleman Jonathan A

机构信息

Department of Urology, SUNY Downstate Medical Center, Brooklyn, NY, USA.

Department of Urology, New York Medical College, Valhalla, NY, USA.

出版信息

Urol Case Rep. 2020 Dec 28;35:101549. doi: 10.1016/j.eucr.2020.101549. eCollection 2021 Mar.

DOI:10.1016/j.eucr.2020.101549

PMID:33437644

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7787945/

Abstract

Ureteral involvement in inguinal hernias is a rare occurrence. A 63-year-old man presented for surveillance of renal cell carcinoma with new onset mild intermittent flank pain. CT scan revealed new left hydroureteronephrosis to the level of the inguinal canal with dilated segments of ureter within an inguinal hernia. The patient underwent robot-assisted laparoscopic left ureterolysis and hernia repair. Ureter-containing inguinal hernias represent an uncommon but important source of obstructive uropathy. When encountered, robotic hernia repair provides a safe and effective treatment option.

摘要

输尿管累及腹股沟疝是一种罕见的情况。一名63岁男性因新发轻度间歇性胁腹疼痛前来接受肾细胞癌监测。CT扫描显示左侧输尿管肾盂积水至腹股沟管水平，腹股沟疝内有扩张的输尿管节段。该患者接受了机器人辅助腹腔镜下左侧输尿管松解术和疝修补术。含有输尿管的腹股沟疝是梗阻性尿路病的一种罕见但重要的病因。一旦遇到这种情况，机器人疝修补术提供了一种安全有效的治疗选择。