Intrascrotal hernia of the ureter and fatty hernia |
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Authors: | J Giuly G François D Giuly C Leroux R Nguyen-Cat |
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Institution: | (1) Clinique Fallen, Surgery Unit, Boulevard Val Pré, 13400 Aubagne, France, |
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Abstract: | Intrascrotal hernia of the ureter is a rare event. We describe here one such case. There are two anatomic types of such ureteral
hernias. The paraperitoneal type has a peritoneal indirect sac, which pulls the ureter with it. The extraperitoneal ureteral
hernia is without a peritoneal sac. In such cases, which are almost always indirect hernias, there is usually a large amount
of fat. It is, in fact, retroperitoneal fat, which slides, and pulls the ureter with it by gravity. Such a case is a genuine
prolapse of the retroperitoneal structures. This anomaly, which has been rarely studied, is worth knowing about, because the
ureter may be damaged during hernia dissection. The surgeon should be cautious when discovering huge fatty hernias, and should
avoid the excision of fat and simply return the fatty mass to its normal place after its separation from the cord.
Electronic Publication |
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Keywords: | Scrotum Ureter Scrotal hernia Ureteral hernia Intrascrotal ureter |
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