Scrotal extraperitoneal hernia of the ureter: case report and literature review.
Ureteral herniation is a rare, often misdiagnosed event and serious surgical complications are possible. Until 1992, 128 cases of ureteral herniation were reported and in 54 (42%) the inguino-scrotal region was involved. From an anatomical and pathogenic standpoint, two types of uretero-inguinal hernias can be identified: paraperitoneal (more frequent, acquired, always presenting a peritoneal hernia sac, frequently associated with other herniated abdominal structures) and extraperitoneal (very uncommon, congenital, never associated with a true peritoneal sac, always composed only of the ureter). We describe a new case of scrotal extraperitoneal ureteral hernia and review the current urological, surgical and radiological literature to analyze the main clinical characteristics of this pathology and its ideal treatment.
Giglio
M
M
Luciano Giuliani Department of Urology, University of Genoa, Italy. matteogiglio@yahoo.com
Medica
M
M
Germinale
F
F
Raggio
M
M
Campodonico
F
F
Stubinski
R
R
Carmignani
G
G
D000368:Aged; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D012611:Scrotum; D014515:Ureteral Diseases / Q000175:diagnosis*