Ureterosciatic hernia: a rare cause of ureteral obstruction visualized by multislice helical computed tomography.

Loffroy, Romaric; Bry, Julien; Guiu, Boris; Dubruille, Thomas; Michel, Frédéric; Cercueil, Jean Pierre; Krause, Denis O.

doi:10.1016/j.urology.2006.11.024

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Ureterosciatic hernia: a rare cause of ureteral obstruction visualized by multislice helical computed tomography.

Author(s): Romaric Loffroy, Julien Bry, Boris Guiu, Thomas Dubruille, Frédéric Michel, Jean Pierre Cercueil, Denis Krause

Publication date: 2007-02-01

Journal: Urology

Publisher: Elsevier BV

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Abstract

Ureterosciatic herniation is an extremely rare cause of ureteral obstruction, of which few cases have been published. We describe a case revealed by pyelonephritis with acute renal failure in an 81-year-old woman. After percutaneous nephrostomy tube placement and antibiotic therapy, urography and multiplanar computed tomography reconstructions of the pelvis confirmed the diagnosis. The symptoms resolved, and the hernia was then corrected surgically.

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Most cited references 6

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Laparoscopic repair of ureterosciatic hernia.

Peter Munson, J. Smith, J. Michael Gee (1999)

Ureterosciatic herniation is a rare benign event that can mimic diverticulosis or irritable bowel syndrome. This entity has been managed by a number of open surgical techniques. Laparoscopic repair of this entity enabled us to identify the defect, interpose mesh, and obliterate the hernia defect with minimal morbidity. This represents the first report of laparoscopic repair of a ureterosciatic hernia.