Ureteric sciatic herniation

Case contributed by Craig Hacking , 8 Apr 2015
Diagnosis certain
Changed by Henry Knipe, 9 Apr 2015

Updates to Case Attributes

Age changed from -7985 to 80.
Body was changed:

The surgeons confirmed herniation of the distal ureter laterally through a small tight fascial defect at th lower margin of the great sciatic foramen, just above the ischial spine. The ureter was reduced sugicallysurgically and the fascial defect closed.

Ureteric herniation is rare.....

  • -<p>The surgeons confirmed herniation of the distal ureter laterally through a small tight fascial defect at th lower margin of the great sciatic foramen, just above the ischial spine. The ureter was reduced sugically and the fascial defect closed.</p><p> </p><p>Ureteric herniation is rare.....</p>
  • +<p>The surgeons confirmed herniation of the distal ureter laterally through a small tight fascial defect at th lower margin of the great sciatic foramen, just above the ischial spine. The ureter was reduced surgically and the fascial defect closed.</p><p>Ureteric herniation is rare.</p>

Updates to Study Attributes

Findings was changed:

Severe hydronephrosis of the malrotated right kidney with a large amount of right perinephric fluid which is the same density as urine indicating acute rupture of the collecting system. Subsequent delayed enhancement of the right kidney. Severe right ureteric dilatation to the level of the right greater sciatic foramen where the ureter herniates laterally out of the pelvis and aan abrupt ureteric calibre change is seen. The distal ureter beyond the herniation is collapsed to the level of the VUJ. No calculus identified.

Incidental findings include - Baggybaggy extra renal pelvis on the left, atrophic uterus with calcified fibroids, colonic diverticulosis, prominence of the intra and extra hepatic ducts following cholecystectomy (which is longstanding), duodenal diverticulum, calcified liver granuloma, calcified pelvic sidewall lymph nodes, aortic calcified atheroma, lung basal fibrosis, coronary artery and valvular calcification and degenerative lumbar spine and right hip

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