Squamous cell carcinoma at herniorrhaphy and unilateral renal agenesis.
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.
Best
Irwin M
IM
Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia 30310-1495, USA.
McKinney
Gerald
G
Garg
Chandrika
C
Scott
Andre
A
McKinney
Shawn
S
Weaver
William L
WL
Bumpers
Harvey L
HL
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