Ureterosciatic hernia causing obstructive uropathy successfully managed with minimally invasive procedures
| Autor: | Jae Ho Cho, Phil Hyun Song, Yeong Uk Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Hernia Case Report 030204 cardiovascular system & hematology Asymptomatic 03 medical and health sciences 0302 clinical medicine Ureter Minimally invasive surgical procedures medicine Treatment outcome Obstructive uropathy lcsh:R5-920 Lesser sciatic foramen business.industry medicine.disease Surgery medicine.anatomical_structure surgical procedures operative 030220 oncology & carcinogenesis medicine.symptom Piriformis muscle business lcsh:Medicine (General) Pyelogram |
| Zdroj: | Yeungnam University Journal of Medicine Yeungnam University Journal of Medicine, Vol 37, Iss 4, Pp 337-340 (2020) |
| ISSN: | 2384-0293 |
| Popis: | Ureterosciatic hernia is extremely rare. In ureteral herniation, ureter prolapses occur through either the greater or lesser sciatic foramen. Atrophy of the piriformis muscle, hip joint diseases, and defects in the parietal pelvic fascia are predisposing factors for the development of ureterosciatic hernia. Most symptomatic patients have been treated surgically, with conservative treatment reserved only for asymptomatic patients. To the best of our knowledge, long-term follow-up outcomes after ureterosciatic hernia management are sparse. In this paper, we report the case of a 68-year-old woman who presented with colicky left abdominal pain. After computed tomography (CT) scan and anterograde pyelography, she was diagnosed ureterosciatic hernia with obstructive uropathy. We performed ureteral balloon dilatation and double-J ureteral stent placement. After this minimally invasive procedure, CT scan demonstrated that the left ureter had returned to its normal anatomical position without looping into the sciatic foramen. The patient remained asymptomatic with no adverse events 7 years after the minimally invasive procedures. This brief report describes ureterosciatic hernia successfully managed with minimally invasive procedures with long-term follow-up outcomes. |
| Databáze: | OpenAIRE |
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