title: Obstructive uropathy secondary to incisional herniation of a transplant ureter - case report and review of literature.
abstract: BACKGROUND
  Herniation of transplant ureter into an incisional hernia is an uncommon and unreported cause of ureteric obstruction, which can lead to transplant dysfunction and diagnostic dilemmas. A report of our case and review of pertinent literature is presented.
  
  
  METHODS
  We report a 61-year-old lady, who presented with transplant dysfunction and hydronephrosis due to obstruction of the transplant ureter in an incisional hernia 8 years post-transplantation. An antegrade pyelogram and a computerised tomographic scan demonstrated an incisional hernia containing the obstructed transplant ureter. Antegrade stent insertion followed by an open mesh repair of the incision hernia restored normal alignment of the ureter and transplant renal function.
  
  
  CONCLUSIONS
  Due to its rarity, awareness of this condition is important in its prevention and successful management.
authors.affiliation: Department of Urology, Royal Hallamshire Hospital, Sheffield, UK. shresthabm@doctors.net.uk
authors.forename: Fady
authors.initials: F
authors.lastname: Youssef
authors.forename: Peter
authors.initials: P
authors.lastname: Brown
authors.forename: Janine
authors.initials: J
authors.lastname: Tappenden
authors.forename: James
authors.initials: J
authors.lastname: Hall
authors.forename: Ferrekh
authors.initials: F
authors.lastname: Salim
authors.forename: Badri
authors.initials: B
authors.lastname: Shrestha
mesh_terms: D005260:Female; D006555:Hernia, Ventral / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000000981:diagnostic imaging / Q000637:transplantation*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery