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Ureterosciatic hernia causing obstructive uropathy successfully managed with minimally invasive procedures
- Source :
- Yeungnam University Journal of Medicine, Yeungnam University Journal of Medicine, Vol 37, Iss 4, Pp 337-340 (2020)
- Publication Year :
- 2020
- Publisher :
- Yeungnam University College of Medicine, 2020.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 23840293
- Volume :
- 37
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Yeungnam University Journal of Medicine
- Accession number :
- edsair.doi.dedup.....802a211cfe9c947d62ff1ff70d59a16f