Inguinal herniation of a transplant ureter: Rare cause of obstructive uropathy

Inguinal herniation of a transplant ureter: Rare cause of obstructive uropathy
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DOI:
10.1016/j.urology.2007.09.054
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发表时间:
2007-12-01
期刊:
影响因子:
2.1
通讯作者:
Hollander, Jay B.
Hollander, Jay B.
中科院分区:
医学4区
文献类型:
--
作者:
Ingber, Michael S.;Girdler, Benjamin J.;Hollander, Jay B.

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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.