Mostafa Zain ^* Osama Kassem Mohamed Gamal Ahmed Tayel Mohamed A. Abouheba

• Faculty of Medicine, Alexandria University, Alexandria, Egypt

Different abdominal organs can herniate into the inguinal canal including the small bowel, colon, appendix, ovaries, and less commonly urinary bladder and fallopian tubes. Herniation of the ureter within an inguinal hernia is a very rare occurrence. To the best of our knowledge, less than 150 cases have been reported in the literature including only 15 pediatric cases. A 3-month-old boy presented to our clinic with a left inguinal swelling. Ultrasound on the abdomen and pelvis showed grade 4 left hydronephrosis with a dilated tortuous ureter passing through the left inguinal canal. Further investigation revealed that the patient has left primary obstructing megaureter with ureteroinuinal hernia. The case was managed by laparoscopic repair of the inguinal hernia and uretrostomy. The current case proves an additional advantage for laparoscopy as it allows proper visualization of the anatomy and identification of atypical hernias as ureteroinguinal hernia.