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Ureterosciatic hernia causing obstructive uropathy successfully managed with minimally invasive procedures

Yeungnam University Journal of Medicine 2020년 37권 4호 p.337 ~ 340
김영욱, 조재호, 송필현,
소속 상세정보
김영욱 ( Kim Yeong-Uk ) - Yeungnam University Hospital Department of Urology
조재호 ( Cho Jae-Ho ) - Yeungnam University College of Medicine Department of Radiology
송필현 ( Song Phil-Hyun ) - Yeungnam University College of Medicine Department of Urology

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.

키워드

Hernia; Minimally invasive surgical procedures; Treatment outcome; Ureter

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