Inguinal hernia containing a kidney with a duplicated system: an exceptionally rare case
- Resource Type
- Authors
- Michael Ryan, Farrell; Christopher, Coogan; John, Hibbeln; Keith, Millikan; Jonas, Benson
- Source
- International journal of urology : official journal of the Japanese Urological Association. 21(3)
- Subject
- Male
Humans
Hernia, Inguinal
Middle Aged
Kidney
Tomography, X-Ray Computed
- Language
- ISSN
- 1442-2042
An inguinal hernia is a commonly encountered surgical case, with multiple unusual contents being reported. We present an exceptionally rare case of an inguinal hernia. Computed tomography imaging of the 62-year-old male patient showed a large left inguinal hernia extending into the left scrotum that contained a duplicated left kidney. There was an associated large left hydrocele and incidental non-obstructive nephrolithiasis. Left nephropexy, left orchiectomy, and repair of the incarcerated left inguinal hernia with mesh placement via a preperitoneal (retroperitoneal) approach were performed. The patient was discharged to home on post-operative day 5 and the post-operative course was uneventful. We discuss a possible mechanism for this rare event.