Inguinal ureteral hernia

A 63-year-old previously healthy male was admitted with a large reducible left inguinal hernia. He was otherwise asymptomatic. The routine preoperative investigations including renal functions were normal. A routine hernia repair was conducted under spinal anaesthesia. Intra-operatively we found a para-peritoneal sliding type hernia of left ureter which was injured during hernia sac dissection. We inserted a double J stent into the injured left ureter and completed the hernia repair. Recovery was uneventful with normal urine output and renal function during post-operative period. Postoperative X-Ray KUB (Figure 1) and CT-IVU were normal. Urinary stent was removed after 6 weeks and he recovered without any complication.