Nephroptosis with inguinal hernia containing perirenal fat

Case contributed by Sami Elhinnawi
Diagnosis almost certain

Presentation

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

Patient Data

Age: 50 years
Gender: Male
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial renal
excretory phase
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Info
  • Left nephroptosis - the origin of the left renal vessels is seen at the same level as on the right side.
  • The left renal fascia and fat are seen herniating through the left inguinal canal, the lowermost portion of the fat in the scrotum shows stranding and surrounding fluid suggesting inflammatory cause or vascular compromise.
coronal
coronal
oblique
coronal
oblique
MPR of the
left ureter
coronal
coronal
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Info

Coronal and oblique images showing the herniation of the left renal fascia and fat into the inguinal canal and the scrotum, the ureter is not included in the hernia.

Case Discussion

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

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