IJU case reports · 2025
Intermittent Recurrence of Ureterosciatic Hernia After Spontaneous Resolution, Complicated by Emphysematous Pyelonephritis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ohtsu Akira, Hori Keisuke, Arai Seiji, Morimura Yuki, Igarashi Ayaka, Fujizuka Yuji, Sekine Yoshitaka, Koike Hidekazu, Matsui Hiroshi, Suzuki Kazuhiro
Аннотация
INTRODUCTION: Ureterosciatic hernia is a rare condition in which the ureter herniates through the sciatic foramen, causing ureteral obstruction, and urinary infection.
CASE PRESENTATION: A 72-year-old woman presented with left flank pain. Computed tomography revealed left hydronephrosis with ureterosciatic hernia. During treatment planning, she developed a cerebral infarction and worsening angina, and received conservative management. One year later, computed tomography showed spontaneous resolution of the hernia. Subsequently, she experienced left flank pain, and repeat computed tomography demonstrated recurrence of the hernia with emphysematous pyelonephritis. Due to the high surgical risk, she underwent antibiotic therapy and stepwise retrograde ureteral realignment with ureteral catheter insertion, followed by double-J stent replacement.
CONCLUSION: This is the first report to describe the spontaneous resolution and intermittent recurrence of ureterosciatic hernia on serial radiographic examinations. Retrograde ureteral realignment may be a safe and effective alternative to surgical repair in frail patients.
CASE PRESENTATION: A 72-year-old woman presented with left flank pain. Computed tomography revealed left hydronephrosis with ureterosciatic hernia. During treatment planning, she developed a cerebral infarction and worsening angina, and received conservative management. One year later, computed tomography showed spontaneous resolution of the hernia. Subsequently, she experienced left flank pain, and repeat computed tomography demonstrated recurrence of the hernia with emphysematous pyelonephritis. Due to the high surgical risk, she underwent antibiotic therapy and stepwise retrograde ureteral realignment with ureteral catheter insertion, followed by double-J stent replacement.
CONCLUSION: This is the first report to describe the spontaneous resolution and intermittent recurrence of ureterosciatic hernia on serial radiographic examinations. Retrograde ureteral realignment may be a safe and effective alternative to surgical repair in frail patients.