title: An unusual inguinoscrotal hernia with renal involvement.
abstract: We present a case of a 74-year-old man who, while in intensive treatment unit for an upper gastrointestinal bleed, decompensated cardiac failure and concurrent pneumonia, was found to have a large right hydronephrotic pelvic kidney and bladder within the hernia. After discharge, he was medically optimised for 7 months before undergoing an elective open mesh repair of his hernia. During the procedure, drainage of a large hydrocoele was performed to facilitate reduction of the hernia. Postoperatively, he underwent ureteric stenting due to a persistent hydronephrosis with impairment of his renal function. He subsequently made a good recovery and was discharged home with outpatient follow-up planned.
authors.affiliation: Barnet Hospital (Royal Free NHS Trust), London, UK Department of General Surgery, Barnet Hospital (Royal Free NHS Trust), London, UK.
authors.forename: Humza Tariq
authors.initials: HT
authors.lastname: Osmani
authors.affiliation: Department of General Surgery, Barnet Hospital (Royal Free NHS Trust), London, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Boulton
authors.affiliation: Department of General Surgery, Barnet Hospital (Royal Free NHS Trust), London, UK.
authors.forename: Harry
authors.initials: H
authors.lastname: Wyatt
authors.affiliation: Department of General Surgery, Barnet Hospital (Royal Free NHS Trust), London, UK.
authors.forename: Stephen Michael
authors.initials: SM
authors.lastname: Saunders
mesh_terms: D000368:Aged; D004322:Drainage; D017558:Elective Surgical Procedures; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000473:pathology* / Q000601:surgery; D007668:Kidney / Q000473:pathology* / Q000601:surgery; D008297:Male; D015607:Stents; D006848:Testicular Hydrocele; D014513:Ureter