Original Works: Case ReportsKidneyInguinal Bladder Hernia With Acute Ureteral Obstruction 14 Years After Kidney Transplantation: A Case Report
Section snippets
Case Report
An 82-year-old male inpatient was evaluated for acutely worsening renal function and oliguria 7 days after aortomesenteric venous bypass. His past medical history was significant for diffuse obliterative arterial disease, atrial fibrillation, arterial hypertension, and type 2 diabetes complicated by end-stage renal disease. He had undergone a deceased-donor kidney transplantation in the left iliac fossa 14 years earlier. Body mass index was 30.1 kg/m2 at the time of transplantation and 20 kg/m2
Discussion
Concomitant herniation of the urinary bladder including the ureteroneocystostomy as described in this case is rare and has been reported only 4 times [4], [9]. Our patient presented 2 of the risk factors described above: He was overweight at the time of transplantation and had undergone multiple abdominal and inguinal vascular procedures in the past. The position of the graft ureter in relation to the spermatic cord was not mentioned in the operative report. In our institution, the ureter is
References (9)
- et al.
Squamous cell carcinoma of the ureterovesical junction after renal transplantation
J Urol
(1975) - et al.
Inguinal herniation containing bladder, causing contralateral allograft hydroureteronephrosis—a case report and literature review
Am J Transplant
(2017) - et al.
Inguinal herniation of a transplant ureter: rare cause of obstructive uropathy
Urology
(2007) - et al.
Acute renal failure resulting from huge inguinal bladder hernia
Urology
(2004)
Cited by (13)
Surgical Outcomes of Ipsilateral Inguinal Hernia After Kidney Transplantation
2024, Transplantation ProceedingsParaperitoneal herniation of the ureter
2021, Radiology Case ReportsCitation Excerpt :This is an acquired pathology in that the ureter develops an adhesion to the peritoneal wall, which then allows it to be pulled into the herniated sac. Paraperitoneal ureteral herniation has a high incidence with kidney transplants, owing to transplant risk factors such as excess length of the grafted ureter and placing the ureter over (rather than under) the spermatic cord have been described in the literature [8]. Extraperitoneal inguinal herniation of the ureter is a rarer entity than the paraperitoneal classification and is believed to be a congenital malformation caused by failure of the ureter to separate from the mesonephric duct during development which further results in the ureter being pulled along with the testis as it descends into the scrotum [9].
Left Kidney Within a Large Left Inguinal Hernia
2019, UrologyCitation Excerpt :Nevertheless, there have been several reports of inguinal hernia involving the urinary system, most commonly the bladder and ureter.3-6 The renal transplant literature also demonstrates the occurrence of vesical and ureteral inguinal hernias after a kidney transplant.7-9 It is estimated that up to 4% of patients undergoing surgery for inguinal hernia have part of the bladder involved in the hernia.
Inguinal bladder hernia: A case report and literature review
2019, International Journal of Surgery Case ReportsCitation Excerpt :In rare cases of very severe bladder herniation, patients may describe two-stage micturition in which they feel the need to compress the scrotum in order to urinate [7]. Previous reports have described other rare cases including patients presenting with massive bladder herniation resulting in acute renal failure, bilateral hydronephrosis, inguinal bladder hernia masking bowel ischemia, and bladder hernia with ureteral obstruction years after kidney transplantation [3,6,7,13]. Careful history and physical examination is key in establishing a preliminary diagnosis.
Inguinal Herniation After Living Donor Kidney Transplantation: A Case Report
2020, Transplantation ProceedingsCitation Excerpt :In this study, we report a rare postoperative late complication of transplant ureteral obstruction due to inguinal hernia after living donor kidney transplantation. Including the current case, 23 reported cases could be identified (Table 1) [1–21]. The median age at presentation was 59 years and median post-transplantation period was 11.5 years.
Successful surgical repair of inguinal hernia causing positional obstructive uropathy: A rare cause of renal graft dysfunction - Case report
2022, Indian Journal of Transplantation