case_images: PMC4490576_01
case_images: 84-year-old man with acute deterioration of renal function in setting of known chronic renal failure diagnosed with obstructive uropathy secondary to uretero-inguinal hernia. (a) Axial image of a non-contrast computed tomography (CT) scan of the abdomen demonstrates the left ureter entering (dashed arrow) and exiting (solid arrow) a left indirect inguinal hernia with a hydronephrotic left kidney. (b) Axial image of a non-contrast CT scan of the abdomen shows a heterogeneous, calcified solid right renal mass (asterisk), diagnosed as a papillary renal cell carcinoma.
case_images: JCIS-5-33-g002.jpg
case_images: PMC4490576_01_JCIS-5-33-g002.jpg
case_images: F1
case_images: The renal findings were further assessed with a computerized tomography (CT) scan of the abdomen, which confirmed severe left hydronephrosis with a dilated left ureter tracking into a large left indirect inguinal hernia which also contained a non-dilated loop of sigmoid colon [Figures 1a and 2]. The CT scan also identified a heterogeneous calcified right renal mass, favored to reflect a renal cell carcinoma [Figures 1b and 2].
case_images: 84-year-old man with acute deterioration of renal function in setting of known chronic renal failure diagnosed with obstructive uropathy secondary to uretero-inguinal hernia. Coronal image of a non-contrast CT scan of the abdomen demonstrates the left ureter entering a left indirect inguinal hernia (dashed arrow) and a calcified solid renal mass on the contralateral kidney (asterisk).
case_images: JCIS-5-33-g003.jpg
case_images: PMC4490576_01_JCIS-5-33-g003.jpg
case_images: F2
case_images: The renal findings were further assessed with a computerized tomography (CT) scan of the abdomen, which confirmed severe left hydronephrosis with a dilated left ureter tracking into a large left indirect inguinal hernia which also contained a non-dilated loop of sigmoid colon [Figures 1a and 2]. The CT scan also identified a heterogeneous calcified right renal mass, favored to reflect a renal cell carcinoma [Figures 1b and 2].