Incisional hernia: an unusual cause of acute pain and swelling following renal transplant.
We present a case in which a strangulated incisional hernia following a renal transplant was sonographically diagnosed. The patient presented with acute pain and swelling over the transplant site 6 weeks after surgery. Sonograms showed a normal-sized kidney with normal echotexture, no evidence of hydronephrosis, and no perinephric collections. Color Doppler sonography and spectral analysis demonstrated normal blood flow throughout the kidney. Sonograms showed that the palpable mass was a dilated loop of fluid-filled small bowel. Sonography allowed the correct diagnosis to be established, and early surgical intervention allowed revascularization of viable bowel.
Harries
S R
SR
Department of Radiology, Derriford Hospital, Plymouth, Devon PL6 8DH, England, UK.
Farmer
K D
KD
Gellett
L R
LR
Dubbins
P A
PA
D000368:Aged; D002404:Catheterization / Q000009:adverse effects; D005260:Female; D006555:Hernia, Ventral / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D010149:Postoperative Pain / Q000209:etiology*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color