Nephroptosis with inguinal hernia containing perirenal fat

Case contributed by Dr Sami Elhinnawi

Presentation

Left loin pain and scrotal swelling, no fever, no vomiting.

Patient Data

Age: 50
Gender: Male

Left nephroptosis, the left renal vessels origin is seen a the same level of the right side. the left renal fascia and fat are seen herniating through the left inguinal canal, the lower most portion of the fat in the scrotum shows stranding and surrounding fluid suggesting inflammatory cause or vascular compromise.

Coronal and oblique images showing the herniation of the left renal fascia and fat into the inguinal canal and the scrotum, the ureter is no included in the hernia.

Case Discussion

Left nephroptosis is presumed with the left renal vessels origin is seen at the same level of the right side and are dragged caudally. The left renal fascia and fat are seen herniating through the left inguinal canal, the lower most portion of the fat in the scrotum shows stranding and surrounding fluid suggesting inflammation or vascular compromise.

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Case information

rID: 56632
Case created: 13th Nov 2017
Last edited: 15th Nov 2017
Inclusion in quiz mode: Excluded
Institution: Misr International Hospital

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