Laparoscopic repair for ureteral sciatic hernia

Abstract

  A woman in her 60s had a several-month history of repeated right abdominal pain. A right ureteral stone was suspected, and CT examination was performed. Right hydronephrosis and a hydroureter to the lower ureter were observed, but no calculus was found. Retrograde ureterography (RU) demonstrated a curlicue sign in the lower ureter, and a diagnosis of ureteral sciatic hernia was made. A mesh was laparoscopically placed and fixed between sciatic foramen and the ureter. There were no postoperative complications. The ureteral sciatic hernia has not recurred. Various surgical treatments for ureteral sciatic hernia are discussed.