CASE NOTE: Inguinoscrotal extraperitoneal herniation of a ureter

Canadian Journal of Surgery | April 1, 2009| | Copyright

Herniation of a ureter in an inguinal canal and scrotum is rare, and the general surgeon should be aware of this possibility to avoid injury to the ureter during hernial dissection. There are 2 types of inguinoscrotal herniation of a ureter: paraperitoneal (with a peritoneal hernial sac) and extraperitoneal (without a hernial sac).1 We report a case of the rarer form in which extraperitoneal herniation of the ureter in the left inguinal canal reached the upper pole of the testis and was misdiagnosed as a varicocele.

CASE REPORT

A 58-year-old man reported swelling in the left inguinoscrotal ...

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