Bilateral inguinal hernias and obstructing left ureteric calculus

Case contributed by Dr Heba Mohamed

Presentation

Left loin pain.

Patient Data

Age: 60 years
Gender: Male

An x-ray scout demonstrates abnormal radiodense stone noted at the left ureteric course. Bilateral abnormal gas densities are seen at the inguinal regions that suggest possible bowel content of the inguinal canals.

A noncontrast CT confirmed left ureteric stone with upstream dilatation consistent with obstruction. Bilateral inguinal hernias contain bowel loops and omental fat.

Case Discussion

A patient with left loin pain referred for a non-contrast study of the urinary tract. The patient's scout suggests possible left ureteric stones as well as bowel loops content of the inguinal canals, the diagnosis was confirmed by CT. No signs of strangulation or bowel obstruction.

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Case information

rID: 54073
Case created: 21st Jun 2017
Last edited: 28th Jun 2017
Inclusion in quiz mode: Excluded

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