Introduction: Inguinal hernias are the most common hernias in adult males. Abnormalities should be taken into account for therapeutic procedures. This is the first report of a dislocation of a primary orthotopic kidney in a monstrous inguinal intestinal hernia. Case Presentation: This paper reports an incidental finding of a dislocation of a primary orthotopic kidney in a monstrous inguinal intestinal hernia of an 82-year-old patient with intracranial injury and acute kidney failure. Post-renal kidney failure could be excluded by ultrasound and CT examination. The acute renal decompensation resulted from rhabdomyolysis associated with a falling down trauma with crush syndrome and pneumonic septicaemia based on chronic renal failure associated with nephrosclerosis and ureteropelvic junction obstruction conditioned atrophic right kidney. Conclusion: Previous reports in the literature include inguinal-scrotal hernias containing ureter and bladder with post-renal failure or containing ectopic congenital pelvic or transplanted iliac kidney. Our patient is very unusual in that he presented with inguinal herniated, orthotopic, atrophic hydronephrosis with suspicion of congenital ureteropelvic junction obstruction as well as an asymptomatic large intestinal hernia. Reasons for pre-renal acute on chronic renal failure can make it difficult to arrive at a decision of a urological therapy.
[1]
D. Martín Hernández,et al.
Inguinal-scrotal bladder hernia associated with pelvic kidney.
,
2011,
Archivos espanoles de urologia.
[2]
Gravante Gianpiero,et al.
Ureteral scrotal herniations after renal transplants
,
2010
.
[3]
G. Gravante,et al.
Ureteral scrotal herniations after renal transplants.
,
2010,
ANZ journal of surgery.
[4]
M. Hassanain,et al.
A rare case of obstructive uropathy in renal transplantation: ipsilateral indirect inguinal herniation of a transplant ureter.
,
2009,
Transplantation.
[5]
A. Bhandari,et al.
Ureteral inguinal hernia in a pelvic kidney.
,
2009,
The Journal of urology.
[6]
D. Katz,et al.
Pelvic kidney presenting as inguinal hernia and acute renal failure.
,
2007,
AJR. American journal of roentgenology.
[7]
J. McCabe,et al.
Ectopic supernumerary kidney presenting as inguinal hernia.
,
2005
.
[8]
B. Suguna,et al.
Ectopic supernumerary kidney presenting as inguinal hernia.
,
2005,
Journal of clinical pathology.
[9]
B. Brown,et al.
Scrotal kidney and ureter: an unusual hernia.
,
1980,
The Journal of urology.