Abstract
RATIONALE: Although rare, cases of renal failure secondary to a uretero-inguinal hernia have been reported. PATIENT CONCERNS: Here, we report a case of left renal failure caused by chronic obstructive uropathy due to a uretero-inguinal hernia combined with contralateral renal pelvic carcinoma. DIAGNOSES: The present case highly indicated that a comprehensive examination is very important when diagnosing an inguinal hernia. In particular, it is necessary to check whether the ureter is involved or not. INTERVENTIONS: A computed tomography scan should be performed to a uretero-inguinal hernia patient. OUTCOMES: Unfortunately, this patient was diagnosed too late to attempt surgical management to restore the left renal functions. LESSONS: In our opinion, a computed tomography scan is highly recommended for an accurate diagnosis.