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Peer-reviewedCC BYJournal of surgical case reports

Ureteral involvement in an inguinal hernia: the importance of preoperative identification.

  • Mohammad N Huda1
  • Ponnuthurai Pratheepan2
  • Michael F Bath2,3
  • Abdulrahman Mohamed4
  • Mohammed Obaid4
  • Tun Tha4
  • Lee Dvorkin2,5
  • Harshawardhan Godbole1,5
5 affiliations
  1. 1Department of Urology, North Middlesex University Hospital, Sterling Way, London, N18 1QX, United Kingdom.
  2. 2Department of Surgery, North Middlesex University Hospital, Sterling Way, London, N18 1QX, United Kingdom.
  3. 3Department of Engineering, University of Cambridge, Cambridge, CB2 1PZ, United Kingdom.
  4. 4Department of Radiology, North Middlesex University Hospital, Sterling Way, London, N18 1QX, United Kingdom.
  5. 5St George's University School of Medicine, True Blue Campus, Grenada, West Indies.
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Abstract

A ureteroinguinal hernia is a rare clinical finding, particularly in those without any previous abdominal surgery. We report the case of an 80-year-old male, with no previous abdominal surgery, who presented with a large symptomatic right-sided inguinoscrotal hernia, associated with lower urinary tract symptoms. Preoperative computed tomography demonstrated a mild-to-moderate right-sided hydronephrosis, with the distal ureter tapering and looping into the inguinal hernia. Intraoperative retrograde pyelography confirmed a characteristic 'fish hook' configuration of the distal ureter. The patient underwent an elective open right inguinal hernia repair with a preprocedural intraoperative ureteric stent placement to ensure sufficient identification, preservation, and reduction of the ureter during the operation. Postoperative imaging demonstrated sufficient straightening of the ureter and the patient had an uneventful recovery. This case highlights the importance of preoperative imaging and multidisciplinary planning in patients with inguinal hernia and ipsilateral hydronephrosis in order to prevent any inadvertent ureteric injury.

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Cite

BibTeXRIS
BibTeX
@article{huda2026ureteral,
  title = {{Ureteral involvement in an inguinal hernia: the importance of preoperative identification.}},
  author = {Mohammad N Huda and Ponnuthurai Pratheepan and Michael F Bath and Abdulrahman Mohamed and Mohammed Obaid and Tun Tha and Lee Dvorkin and Harshawardhan Godbole},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag977},
  url = {https://europepmc.org/article/MED/42948039},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Ureteral involvement in an inguinal hernia: the importance of preoperative identification.
AU  - Mohammad N Huda
AU  - Ponnuthurai Pratheepan
AU  - Michael F Bath
AU  - Abdulrahman Mohamed
AU  - Mohammed Obaid
AU  - Tun Tha
AU  - Lee Dvorkin
AU  - Harshawardhan Godbole
PY  - 2026
DA  - 2026/10/27
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag977
UR  - https://europepmc.org/article/MED/42948039
AB  - A ureteroinguinal hernia is a rare clinical finding, particularly in those without any previous abdominal surgery. We report the case of an 80-year-old male, with no previous abdominal surgery, who presented with a large symptomatic right-sided inguinoscrotal hernia, associated with lower urinary tract symptoms. Preoperative computed tomography demonstrated a mild-to-moderate right-sided hydronephrosis, with the distal ureter tapering and looping into the inguinal hernia. Intraoperative retrograde pyelography confirmed a characteristic 'fish hook' configuration of the distal ureter. The patient underwent an elective open right inguinal hernia repair with a preprocedural intraoperative ureteric stent placement to ensure sufficient identification, preservation, and reduction of the ureter during the operation. Postoperative imaging demonstrated sufficient straightening of the ureter and the patient had an uneventful recovery. This case highlights the importance of preoperative imaging and multidisciplinary planning in patients with inguinal hernia and ipsilateral hydronephrosis in order to prevent any inadvertent ureteric injury.
SN  - 2042-8812
ER  -