Different Management Options for Transplant Ureteral Obstructions within an Inguinal Hernia.
Different Management Options for Transplant Ureteral Obstructions within an Inguinal Hernia.
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DOI：
10.1155/2016/4730494
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发表时间：
2016
影响因子：
--
通讯作者：
Darras FS
中科院分区：
文献类型：
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作者：
Cheung F;Debartolo MM;Copertino LM;Szafran AA;Estrada CC;Lynch PG;Darras FS
摘要因腹股沟疝气合并移植输尿管造成输尿管梗阻是一种极为罕见的疾病，文献中仅有数例报告。在所有先前报告的病例中，梗阻的处理包括输尿管支架置入或肾造口术管放置临时引流，然后延迟最终修复。我们提出了两个病例报告，这里是第一个通过输尿管再植和疝修补术立即确定性修复，第二个病例通过经皮肾造口管放置后延迟确定性修复。两名患者术后继续良好，随访时肾功能正常化。
Ureteral obstruction secondary to an inguinal hernia with transplant ureteral component is an extremely rare entity with only several case reports found in literature. In all previously reported cases, management of the obstruction involved temporary drainage with ureteral stenting or nephrostomy tube placements followed by delayed definitive repair. We present two case reports, here one being the first one managed by immediate definitive repair via ureteral reimplant and herniorrhaphy and a second case by delayed definitive repair after percutaneous nephrostomy tube placement. Both patients continued to do well postoperatively with normalization of renal function on follow-up.