1. Inguinal herniation of a transplant ureter: rare cause of obstructive uropathy.
- Author
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Ingber MS, Girdler BJ, Moy JF, Frikker MJ, and Hollander JB
- Subjects
- Acute Kidney Injury etiology, Aged, Hernia, Inguinal therapy, Humans, Male, Stents, Ureteral Obstruction therapy, Hernia, Inguinal etiology, Kidney Transplantation adverse effects, Ureter transplantation, Ureteral Obstruction etiology
- Abstract
We present a rare case of late renal allograft failure from ureteral obstruction resulting from inguinal herniation. A 72-year-old man presented with an elevated creatinine and hydroureteronephrosis of a transplanted kidney on ultrasound. Noncontrast computed tomography demonstrated an inguinal hernia containing ureter, and a nephrostomy tube was placed. The hernia and ureter were temporarily reduced during antegrade stent insertion. Creatinine normalized and we performed inguinal herniorrhaphy with polypropylene mesh. The ureter was not reimplanted. Renal function remained stable after nephrostomy tube removal. Simple herniorrhaphy without ureteral reimplantation may fix the case of ureteral obstruction from inguinal herniation.
- Published
- 2007
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