(1) Department of Surgery, Plymouth Postgraduate Medical School, Plymouth, UK;(2) Present address: Camellia House, Lower Kelly Rd, Calstock, PL18 9rX Cornwall, England
Abstract:
A case is described of a 47-year-old man with achondroplasia who presented with lower back pain radiating to his left loin.
An intravenous urogram (IVU) showed hydronephrosis on the left side and a dilated left ureter passing down into the left inguinal
region. A CT scan confirmed a left inguinal hernia containing the left ureter causing ureteric obstruction. The hernia was
repaired using the Lichtenstein technique with the ureter replaced retroperitoneally. A postoperative IVU showed recovery
in renal function but with a persistently dilated left ureter that was not obstructed. A review of the literature regarding
inguinal herniation involving the ureter is presented.