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 years
Gender: Male
  • 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 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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.