title: Undiagnosed ureteroinguinal hernia with solitary kidney in a child with ureteric injury during herniotomy.
abstract: Iatrogenic ureteric injuries are an uncommon but difficult problem to manage. Although ureteric injury has been reported during hernia surgery in adults, it has not been reported in children during herniotomy. An 18-month-old male child underwent repair of an inguinal hernia and developed postoperative anuria. Investigations revealed that the patient had a solitary kidney and had injury to the solitary ureter. We successfully managed this patient using the vermiform appendix to replace a segment of the injured ureter. The possible mechanism of injury and the relevant literature are discussed.
authors.affiliation: Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Abahilasha Tej
authors.initials: AT
authors.lastname: Handu
authors.forename: Saurabh
authors.initials: S
authors.lastname: Garge
authors.forename: Nitin J
authors.initials: NJ
authors.lastname: Peters
authors.forename: Ravi Prakash
authors.initials: RP
authors.lastname: Kanojia
authors.forename: K L N
authors.initials: KL
authors.lastname: Rao
mesh_terms: D057210:Delayed Diagnosis; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D014513:Ureter / Q000293:injuries*