PMC6028663_01
Fungating tumor in the ectopia vesica with the irreducible right inguinal hernia.
gr1.jpg
PMC6028663_01_gr1.jpg
fig0005
On clinical examination he was found to have a right side irreducible inguinal hernia, non-repaired ectopia vesica with fungating mass and multiple bilateral lymphadenopathy (Fig. 1).
Descending pyelogram showing a distal ureteric stricture, hydroureter, and hydronephrosis.
gr2.jpg
PMC6028663_01_gr2.jpg
fig0010
Retrograde pyelography confirmed the ultrasound finding and showed a distal ureteric stricture (Fig. 2).
Postoperative IVU: Resolved obstruction and functioning ureterosigmoidostomy.
gr3.jpg
PMC6028663_01_gr3.jpg
fig0015
After 3 weeks he had good fecal continence, normal renal functions, minimal residual hydro-ureter and hydro-nephrosis (Fig. 3) with a midline incisional hernia (Fig. 4).