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October 1972

Preinguinal Canal Herniation of the UreterValue of the Curlicue Sign Direction

Author Affiliations

New York
From the departments of surgery (Dr. Gordimer) (Urology Division, Dr. Ney), and radiology (Dr. Miller), Bronx-Lebanon Hospital Center, Fulton Division, New York.

Arch Surg. 1972;105(4):633-634. doi:10.1001/archsurg.1972.04180100078018

A 60-year-old man with a ten-year history of repeated attacks of left flank pain radiating to the left inguinal area was admitted to the hospital. An intravenous urogram and retrograde pyelogram substantiated the presence of a left ureteral herniation. Pelvic venography and arteriography proved that the ureter was not in a retroiliac vascular position. Repair of this extraperitoneal, congenital ureteral herniation required resection of the ureter and reanastomosis to the bladder. Follow-up revealed a normal left urinary tract with complete relief of symptoms.