Ureteroinguinal hernia is an extremely rare condition and even rarer in patients with native kidneys. There have been approximately 140 cases reported 1 . This interesting case study is about a 76-year-old man with a left indirect ureteroinguinal hernia who was referred to the General Surgery clinic by a urologist. Medical history Renal colic Atrial fibrillation Ischemic heart disease Permanent pacemaker Ivor-Lewis oesophagectomy for Barrett’s esophagus with high-grade dysplasia Open right inguinal hernia repair Open umbilical hernia repair Five months before presentation    He was seen by a urologist on account of lower urinary tract symptoms (LUTS).

He had suffered from occasional urgency, nocturia, weak flow, and some terminal dribbling for three months. A digital rectal examination revealed benign prostate. An ultrasound of the kidneys, ureter, and bladder (USS KUB) findings were: A…