title: Squamous cell carcinoma at herniorrhaphy and unilateral renal agenesis.
abstract: Unilateral renal agenesis occurs infrequently. However, it has been associated with malignancies at multiple primary sites, anomalies of the genitourinary system, and supernumerary limbs. We present the case of a 60-year-old man with an incarcerated left inguinal hernia and renal insufficiency. At herniorrhaphy, he had squamous cell carcinoma in the hernia sac. A postoperative evaluation revealed unilateral renal agenesis, stage IV squamous cell carcinoma of the urinary bladder, and urolithiasis. The clinician should consider the genitourinary system as a primary site when patients present with the unusual finding of squamous cell carcinoma in the abdominal cavity and unilateral renal agenesis.
authors.affiliation: Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia 30310-1495, USA.
authors.forename: Irwin M
authors.initials: IM
authors.lastname: Best
authors.forename: Gerald
authors.initials: G
authors.lastname: McKinney
authors.forename: Chandrika
authors.initials: C
authors.lastname: Garg
authors.forename: Andre
authors.initials: A
authors.lastname: Scott
authors.forename: Shawn
authors.initials: S
authors.lastname: McKinney
authors.forename: William L
authors.initials: WL
authors.lastname: Weaver
authors.forename: Harvey L
authors.initials: HL
authors.lastname: Bumpers
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000175:diagnosis; D006552:Hernia, Inguinal / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D051437:Renal Insufficiency / Q000150:complications* / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000175:diagnosis; D014545:Urinary Calculi / Q000150:complications / Q000175:diagnosis