Incarcerated Ureter in Inguinal Hernia: A Case Report

Aims To describe a clinical case of a right inguinal hernia with an incarcerated ureter. Methods A 75-year-old male patient with a history of radical prostatectomy and rectal neoplasia was followed up. On control CT scan, a right indirect inguinal hernia containing a small segment of right ureter was identified as a finding at abdominal level. Results Incidental finding of a right indirect inguinal hernia with a small segment of ureter, paraperitoneal. Due to the patient's age, comorbidities and absence of symptoms, follow-up and expectant management was decided. Conclusions Inguinal hernias with retained ureter are very rare, with a predominance of indirect hernias. There are 2 types: paraperitoneal and extraperitoneal. The most common is paraperitoneal, in up to 80% of cases, where the ureter is accompanied by a hernial sac and other intra-abdominal organs may appear. Extraperitoneal hernias are usually associated with retroperitoneal fat. Treatment is usually herniorrhaphy.