PMC10435303_01
Multidetector-computed tomography (MDCT) demonstrates the location of the right kidney in the right-sided inguinal hernia. (a) Frontal reconstruction. (b) Sagittal reconstruction.
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The results of the CT scan confirmed the location of the right kidney in the right half of the scrotum (Figure 1).
Multidetector-computed tomography. Frontal views present a severely elongated right renal artery and stenosis of the left renal artery (a-c).
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This was objectively confirmed by the arterial phase of the investigation, which demonstrated that the ostium of the right renal artery was situated in the typical location (at the level L1-L2) and that the renal artery length had a length of over 20 cm (Figure 2).
MDCT. Axial (a) and sagittal (b) views of an enlarged prostate gland and the right kidney located in the right half of the scrotum.
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Percutaneous nephrostomy via the right inguinal area.
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Considering the signs of acute right-sided pyelonephritis, signs of ureteral obstruction, serious overall condition, and the absence of intestinal loops in the hernial sac, it was decided to perform a minimally invasive treatment:percutaneous nephrostomy through the upper part of the right half of the scrotum (Figure 4).