Obstructive uropathy secondary to incisional herniation of a transplant ureter – case report and review of literature

Abstract

Due to its rarity, awareness of this condition is important in its prevention and successful management.

Femoral herniation of transplanted ureter after deceased-donor kidney transplantation

“…We report, as evidenced in our case, that herniation of transplant ureter may lead to hydronephrosis, obstructive uropathy, and eventually transplant kidney failure [4,8] . We propose prompt diagnosis with transplant kidney ultrasound [9] or CT imaging of the abdomen and pelvis.…”

Ureteral herniation in kidney transplant - Case Report

“…Nevertheless, one could infer that the chronic exposure to certain immunosuppressant could contribute to this illness, as they may interfere with part of the wound healing process. Among the main clinical features related to this anatomic pathology are previous inguinal surgery, inguinal enlargement, and acute loss of graft function [2,3,[8][9][10]12,14,16,17,20,21,23].…”

“…The main image methods used for the diagnosis are graft ultrasound, abdominal CT, and nefrography [5][6][7][8][9][10][11][16][17][21][22][23]. In five cases, abdominal magnetic resonance was used for the documentation [3,4,9,12,19].…”

Inguinal Herniation Containing Bladder, Causing Contralateral Allograft Hydroureteronephrosis—A Case Report and Literature Review

“…Several case studies of allograft hydroureteronephrosis as a result of ureteroinguinal herniation have been reported. Although exceedingly rare, herniation sites other than the inguinal canal have been described . Regardless of site, prompt and accurate diagnosis is imperative to avert the irreversible sequelae of obstructive uropathy as well as inadvertent ureteric injury during hernia repair .…”