Ureteral Involvement Within an Incarcerated Inguinal Hernia in a Patient With Crossed-fused Renal Ectopia

Udit Singhal; Duncan Morhardt; Matthew S. Davenport; Miriam Hadj Moussa; Hasan Alam; Bahaa Malaeb; Alexander Kutikov; Todd M. Morgan

doi:10.1016/j.eucr.2016.03.008

Urology Case Reports (Jul 2016)

Ureteral Involvement Within an Incarcerated Inguinal Hernia in a Patient With Crossed-fused Renal Ectopia

Udit Singhal,
Duncan Morhardt,
Matthew S. Davenport,
Miriam Hadj Moussa,
Hasan Alam,
Bahaa Malaeb,
Alexander Kutikov,
Todd M. Morgan

Affiliations

Udit Singhal: Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Duncan Morhardt: Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Matthew S. Davenport: Department of Radiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Miriam Hadj Moussa: Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Hasan Alam: Department of Surgery, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Bahaa Malaeb: Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Alexander Kutikov: Division of Urology, Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Ave., Philadelphia, PA 19111, USA
Todd M. Morgan: Department of Urology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA

DOI: https://doi.org/10.1016/j.eucr.2016.03.008
Journal volume & issue: Vol. 7, no. C
pp. 20 – 22

Abstract

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Crossed-fused renal ectopy is an uncommon abnormality of the genitourinary tract that results from errors during embryological development. Ureteral herniation represents another rare anatomic event and can often occur from spontaneous, postoperative, and congenital causes (Allam, Johnson, Grewal & Johnson 2015; Pollack, Popky & Blumberg 1975). Here, we discuss the complex clinical course of a patient with crossed-fused renal ectopia who presents with symptoms due to ureteroinguinal herniation and provide a brief overview of the literature. We highlight the clinical considerations in the management of this patient and provide a potential anatomical and embryological explanation for his presentation.

Published in Urology Case Reports

ISSN: 2214-4420 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology
Website: http://www.urologycasereports.com/

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