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Gross hematuria as the presentation of an inguinoscrotal hernia: a case report

INTRODUCTION: Several complications have been reported with inguinal hernias. Although hematuria and flank pain, either as the presentation or as a complication of inguinal hernia, are infrequent, this condition may lead to the development of obstructive uropathy, which can have diverse manifestatio...

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Autores principales: Ansari, Kayvan, Keramati, Mohammad Reza, Rezaei Kalantari, Kiara, Jafari, Maryam, Godazandeh, Gholamali, Pakzad, Mohsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275640/
https://www.ncbi.nlm.nih.gov/pubmed/22136505
http://dx.doi.org/10.1186/1752-1947-5-561
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author Ansari, Kayvan
Keramati, Mohammad Reza
Rezaei Kalantari, Kiara
Jafari, Maryam
Godazandeh, Gholamali
Pakzad, Mohsen
author_facet Ansari, Kayvan
Keramati, Mohammad Reza
Rezaei Kalantari, Kiara
Jafari, Maryam
Godazandeh, Gholamali
Pakzad, Mohsen
author_sort Ansari, Kayvan
collection PubMed
description INTRODUCTION: Several complications have been reported with inguinal hernias. Although hematuria and flank pain, either as the presentation or as a complication of inguinal hernia, are infrequent, this condition may lead to the development of obstructive uropathy, which can have diverse manifestations. CASE PRESENTATION: A 71-year-old Iranian man with Persian ethnicity presented with new onset episodes of gross hematuria and left-sided flank pain. A physical examination revealed a large and non-tender inguinal hernia on his left side. An initial workup included an abdominal ultrasound, an intravenous pyelogram and cystoscopy, which showed left hydronephrosis and a bulging on the left-side of his bladder wall. On further evaluation, computed tomography confirmed that his sigmoid colon was the source of the pressure effect on his bladder, resulting in hydroureteronephrosis and hematuria. No tumoral lesion was evident. Herniorrhaphy led to the resolution of his signs and symptoms. CONCLUSION: Our case illustrates a rare presentation of inguinal hernia responsible for gross hematuria and unilateral hydronephrosis. Urologic signs and symptoms can be caused by the content of inguinal hernias. They can also present as complications of inguinal hernias.
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spelling pubmed-32756402012-02-09 Gross hematuria as the presentation of an inguinoscrotal hernia: a case report Ansari, Kayvan Keramati, Mohammad Reza Rezaei Kalantari, Kiara Jafari, Maryam Godazandeh, Gholamali Pakzad, Mohsen J Med Case Reports Case Report INTRODUCTION: Several complications have been reported with inguinal hernias. Although hematuria and flank pain, either as the presentation or as a complication of inguinal hernia, are infrequent, this condition may lead to the development of obstructive uropathy, which can have diverse manifestations. CASE PRESENTATION: A 71-year-old Iranian man with Persian ethnicity presented with new onset episodes of gross hematuria and left-sided flank pain. A physical examination revealed a large and non-tender inguinal hernia on his left side. An initial workup included an abdominal ultrasound, an intravenous pyelogram and cystoscopy, which showed left hydronephrosis and a bulging on the left-side of his bladder wall. On further evaluation, computed tomography confirmed that his sigmoid colon was the source of the pressure effect on his bladder, resulting in hydroureteronephrosis and hematuria. No tumoral lesion was evident. Herniorrhaphy led to the resolution of his signs and symptoms. CONCLUSION: Our case illustrates a rare presentation of inguinal hernia responsible for gross hematuria and unilateral hydronephrosis. Urologic signs and symptoms can be caused by the content of inguinal hernias. They can also present as complications of inguinal hernias. BioMed Central 2011-12-04 /pmc/articles/PMC3275640/ /pubmed/22136505 http://dx.doi.org/10.1186/1752-1947-5-561 Text en Copyright ©2011 Ansari et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ansari, Kayvan
Keramati, Mohammad Reza
Rezaei Kalantari, Kiara
Jafari, Maryam
Godazandeh, Gholamali
Pakzad, Mohsen
Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title_full Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title_fullStr Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title_full_unstemmed Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title_short Gross hematuria as the presentation of an inguinoscrotal hernia: a case report
title_sort gross hematuria as the presentation of an inguinoscrotal hernia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275640/
https://www.ncbi.nlm.nih.gov/pubmed/22136505
http://dx.doi.org/10.1186/1752-1947-5-561
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