title: Chronic obstructive uropathy due to uretero-inguinal hernia: A case report.
abstract: BACKGROUND
  Inguinal hernia in men is common but uretero-inguinal hernia is very rare.
  
  
  METHODS
  A 85-year-old obese man presented with chronic obstructive uropathy with previous renal ultrasound showing bilateral enlarged kidneys and hydronephrosis. The medical history revealed a 3-year history of a noticeable bilateral partial reducible inguinoscrotal herniae associated with urinary symptoms. Progress CT scan showed very large inguinal herniae, which were predominantly fat-containing with the ureters herniated, and both kidneys were displaced inferiorly.
  
  
  CONCLUSIONS
  Uretero-inguinal hernia in patients with native kidneys is rare, but cases of renal failure secondary to uretero-inguinal hernia have also been reported previously in the literature with two anatomical variations have been reported - paraperitoneal and extraperitoneal types. Endourological and surgical procedures are rarely straight-forward because of tortuosity of the herniated ureter.
  
  
  CONCLUSIONS
  Although uretero-inguinal hernia is rare, it can be the cause of chronic renal impairment.
authors.affiliation: St George and Sutherland Hospitals, Clinical Teaching Unit, Ground Floor, Research & Education Centre, 4-10 South Street, Kogarah, NSW 2217, Australia.
authors.forename: Andy Chuk Moon
authors.initials: AC
authors.lastname: Won
authors.forename: Gerard
authors.initials: G
authors.lastname: Testa