title: Inguinal hernia containing a kidney with a duplicated system: an exceptionally rare case.
abstract: An inguinal hernia is a commonly encountered surgical case, with multiple unusual contents being reported. We present an exceptionally rare case of an inguinal hernia. Computed tomography imaging of the 62-year-old male patient showed a large left inguinal hernia extending into the left scrotum that contained a duplicated left kidney. There was an associated large left hydrocele and incidental non-obstructive nephrolithiasis. Left nephropexy, left orchiectomy, and repair of the incarcerated left inguinal hernia with mesh placement via a preperitoneal (retroperitoneal) approach were performed. The patient was discharged to home on post-operative day 5 and the post-operative course was uneventful. We discuss a possible mechanism for this rare event.
authors.affiliation: Department of Urology, Rush Medical College, Chicago, Illinois, USA.
authors.forename: Michael Ryan
authors.initials: MR
authors.lastname: Farrell
authors.forename: Christopher
authors.initials: C
authors.lastname: Coogan
authors.forename: John
authors.initials: J
authors.lastname: Hibbeln
authors.forename: Keith
authors.initials: K
authors.lastname: Millikan
authors.forename: Jonas
authors.initials: J
authors.lastname: Benson
mesh_terms: D006552:Hernia, Inguinal / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: hydrocele; inguinal hernia; kidney; perinephric fascia