Intermittent Recurrence of Ureterosciatic Hernia After Spontaneous Resolution, Complicated by Emphysematous Pyelonephritis.

ABSTRACT:

Introduction

Ureterosciatic hernia is a rare condition in which the ureter herniates through the sciatic foramen, causing ureteral obstruction, and urinary infection.

Case presentation

A 72-year-old woman presented with left flank pain. Computed tomography revealed left hydronephrosis with ureterosciatic hernia. During treatment planning, she developed a cerebral infarction and worsening angina, and received conservative management. One year later, computed tomography showed spontaneous resolution of the hernia. Subsequently, she experienced left flank pain, and repeat computed tomography demonstrated recurrence of the hernia with emphysematous pyelonephritis. Due to the high surgical risk, she underwent antibiotic therapy and stepwise retrograde ureteral realignment with ur

SUBMITTER: Ohtsu A 

PROVIDER: S-EPMC12580005 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature