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January 1969

Ureteral HerniaReport of a Case of Herniation of the Ureter Into the Sciatic Foramen

Author Affiliations

San Jose, Calif
From the Department of Surgery, Stanford University School of Medicine and San Jose Hospital, San Jose, Calif.

Arch Surg. 1969;98(1):96-98. doi:10.1001/archsurg.1969.01340070114025

Prolapse of the ureter into a hernial orifice is one of the rarer causes of ureteral obstruction. Its prolapse into the sciatic foramen is even less common, with only two previous cases reported in the literature.1,2

Report of a Case  A 65-year-old white woman entered San Jose Hospital (No. 178036/67) on Dec 13, 1967, complaining of intermittent attacks of colicy left flank and abdominal pain. She had six severe attacks in the preceding year which were associated with nausea, vomiting, and diminished urinary output. Since 1960, she had been chronically ill, with a 15.0-kg (33 lb) weight loss and tropical diarrhea. Previous surgery included a tonsillectomy and adenoidectomy in 1918, submucous resection in 1918, dilation and curettage in 1923, laparotomy with removal of one ovary, gallbladder, and appendix in 1925, oophorectomy in 1926, hysterectomy in 1932, and cystocele repair in 1952. Patient had complaints referrable to all systems plus

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