title: Inguinal herniation of a transplant ureter: rare cause of obstructive uropathy.
abstract: 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.
authors.affiliation: Ministrelli Program for Urologic Research and Education, Department of Urology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA. ingbermd@aol.com
authors.forename: Michael S
authors.initials: MS
authors.lastname: Ingber
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Girdler
authors.forename: Jason F
authors.initials: JF
authors.lastname: Moy
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Frikker
authors.forename: Jay B
authors.initials: JB
authors.lastname: Hollander
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D006552:Hernia, Inguinal / Q000209:etiology* / Q000628:therapy; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D015607:Stents; D014513:Ureter / Q000637:transplantation*; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy