Percival W L
Can J Surg. 1983 May;26(3):283, 286.
Large sliding inguinal hernias may contain a variety of either intraperitoneal or retroperitoneal anatomical structures. A ureter within a sliding inguinal hernia has been reported rarely. The author presents such a case to alert the unwary surgeon of this possibility and to indicate a successful method of treatment. Pyelography is indicated as a routine preoperative diagnostic procedure in morbidly obese patients with large irreducible inguinal hernias, particularly if the patient complains of frequency or other urinary symptoms. The ureter should be carefully dissected with its blood supply from the sliding tissues and laid back in the retroperitoneal space with resection or reimplantation. The hernia may then be repaired by standard methods. The patient described in the report is well and free of symptoms 10 years after the operation.
巨大滑动性腹股沟疝可能包含各种腹腔内或腹膜后的解剖结构。滑动性腹股沟疝内出现输尿管的情况鲜有报道。作者报告了这样一例病例，以提醒粗心的外科医生注意这种可能性，并指出一种成功的治疗方法。对于患有巨大不可复性腹股沟疝的病态肥胖患者，肾盂造影被列为常规术前诊断程序，尤其是当患者主诉尿频或其他泌尿系统症状时。应小心地将输尿管与其从滑动组织中获得的血供一并解剖出来，然后将其放回腹膜后间隙，可进行切除或再植术。然后可用标准方法修复疝。报告中描述的患者术后10年情况良好，无症状。
