Ureteric inguinal herniation with obstructing bladder tumour

While ureteric orifice obstruction by bladder tumour is common, an inguinal hernia containing ureter is rare. The simultaneous occurrence of both has not previously been reported and made management both challenging and unique. We present the case of a 75-year-old man who presented with a symptomati...

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Main Authors: Frances Harley, Ned Kinnear, Siva Ravindran, David Clarke, Henry Han-I Yao
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442019301779
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author Frances Harley
Ned Kinnear
Siva Ravindran
David Clarke
Henry Han-I Yao
author_facet Frances Harley
Ned Kinnear
Siva Ravindran
David Clarke
Henry Han-I Yao
author_sort Frances Harley
collection DOAJ
description While ureteric orifice obstruction by bladder tumour is common, an inguinal hernia containing ureter is rare. The simultaneous occurrence of both has not previously been reported and made management both challenging and unique. We present the case of a 75-year-old man who presented with a symptomatic right inguinal hernia, which was found on imaging to include the right ureter. Cystoscopy to perform right ureteric stent insertion revealed bladder tumour obstructing the ipsilateral ureteric orifice. A multi-disciplinary approach involving urology, general surgery and interventional radiology was successful in achieving tumour resection, ureterolysis with preservation of ureter and inguinal hernia repair. Keywords: Inguinal hernia, Ureter, Bladder cancer, Urology
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spelling doaj.art-7d6f5900d4dc46aab741839b60f32fa32022-12-22T02:04:48ZengElsevierUrology Case Reports2214-44202019-09-0126Ureteric inguinal herniation with obstructing bladder tumourFrances Harley0Ned Kinnear1Siva Ravindran2David Clarke3Henry Han-I Yao4Footscray Hospital, Footscray, Melbourne, AustraliaCorresponding author. Department of Urology, Footscray Hospital, 160 Gordon St, Footscray, VIC, 3011, Australia.; Footscray Hospital, Footscray, Melbourne, AustraliaFootscray Hospital, Footscray, Melbourne, AustraliaFootscray Hospital, Footscray, Melbourne, AustraliaFootscray Hospital, Footscray, Melbourne, AustraliaWhile ureteric orifice obstruction by bladder tumour is common, an inguinal hernia containing ureter is rare. The simultaneous occurrence of both has not previously been reported and made management both challenging and unique. We present the case of a 75-year-old man who presented with a symptomatic right inguinal hernia, which was found on imaging to include the right ureter. Cystoscopy to perform right ureteric stent insertion revealed bladder tumour obstructing the ipsilateral ureteric orifice. A multi-disciplinary approach involving urology, general surgery and interventional radiology was successful in achieving tumour resection, ureterolysis with preservation of ureter and inguinal hernia repair. Keywords: Inguinal hernia, Ureter, Bladder cancer, Urologyhttp://www.sciencedirect.com/science/article/pii/S2214442019301779
spellingShingle Frances Harley
Ned Kinnear
Siva Ravindran
David Clarke
Henry Han-I Yao
Ureteric inguinal herniation with obstructing bladder tumour
Urology Case Reports
title Ureteric inguinal herniation with obstructing bladder tumour
title_full Ureteric inguinal herniation with obstructing bladder tumour
title_fullStr Ureteric inguinal herniation with obstructing bladder tumour
title_full_unstemmed Ureteric inguinal herniation with obstructing bladder tumour
title_short Ureteric inguinal herniation with obstructing bladder tumour
title_sort ureteric inguinal herniation with obstructing bladder tumour
url http://www.sciencedirect.com/science/article/pii/S2214442019301779
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AT nedkinnear uretericinguinalherniationwithobstructingbladdertumour
AT sivaravindran uretericinguinalherniationwithobstructingbladdertumour
AT davidclarke uretericinguinalherniationwithobstructingbladdertumour
AT henryhaniyao uretericinguinalherniationwithobstructingbladdertumour