Obstructive Uropathy Secondary to Ureteral Herniation in a Pediatric En Bloc Renal Graft
| Autor: | Julio Antonio Virseda Rodríguez, Miguel Segura Martín, Héctor Pastor Navarro, José Miguel Giménez Bachs, María José Donate Moreno, Antonio S. Salinas Sánchez, Jesús Cifuentes Tebar |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Urinary system medicine.medical_treatment Urology Hernia Inguinal Hydronephrosis Kidney urologic and male genital diseases Spermatic cord Postoperative Complications Ureter medicine Humans Immunology and Allergy Pharmacology (medical) Hernia Obstructive uropathy Aged Transplantation business.industry medicine.disease Kidney Transplantation Surgery Radiography surgical procedures operative medicine.anatomical_structure Nephrostomy business Ureteral Obstruction |
| Zdroj: | American Journal of Transplantation. 5:2074-2077 |
| ISSN: | 1600-6135 |
| DOI: | 10.1111/j.1600-6143.2005.00973.x |
| Popis: | Ureteral herniation is a rare entity. We report the first case of extraperitoneal ureteral herniation in a pediatric en bloc renal graft causing obstructive uropathy. A 70-year-old, obese patient with an en bloc renal transplant was found to have ureterohydronephrosis in the right renal graft on magnetic resonance imaging. Nephrostomy with insertion of a double-J catheter confirmed the presence of a ureteral loop within the inguinal tract. Surgery confirmed herniation of the ureter through the internal inguinal ring, crossing over the spermatic cord. We performed release, resection, ureteral reimplantation and hernioplasty. Four months later, renal function was normal and urinary tract dilation had diminished. This case illustrates an unusual cause of obstructive uropathy in a transplanted kidney. Apart from obesity, two other factors may have contributed to its development: presence of a redundant ureter, and the fact that the ureter had been placed over, rather than under, the spermatic cord. |
| Databáze: | OpenAIRE |
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